SCRIPPS ORAL PATHOLOGY SERVICE, LLC (NPI# 1487082046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487082046 |
| Entity Type | Organization |
| Organization Name | SCRIPPS ORAL PATHOLOGY SERVICE, LLC |
| Other Organization Name | SCRIPPS ORAL PATHOLOGY SERVICE |
| Practice Address |
5190 Governor Dr Ste 106 San Diego CA 92122-2848 |
| Practice Telephone | 8587840600 |
| Practice Fax Number | 8587840604 |
| Mailing Telephone | 8587840600 |
| Mailing Fax Number | 8587840604 |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2013-10-17 |
| Authorized Official Name | MRS. ELISAMA CHAVEZ (FRONT OFFICE) |
| Authorized Official Telephone | 8587840600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Scripps Oral Pathology Service | Doing Business As Name - Organization |
| Street Address |
5190 GOVERNOR DR STE 106 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92122-2848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912561630 | Neal Yacoo | Pharmacist | 9085 Judicial Drive #2137, San Diego, CA 92122 | 2019-04-29 |
| 1598242828 | Gena Rachel Katzer | Social Worker | 3246 Willard St, San Diego, CA 92122 | 2018-07-19 |
| 1164919791 | Janine Marie Battaglia | Nurse Practitioner | Scripps Health Express, 4350 La Jolla Villlage Drive Ste 130, San Diego, CA 92122 | 2018-04-19 |
| 1669991899 | Lindsay Y Ditmars | Pharmacist | 7545 Charmant Dr. #1322, 1322, San Diego, CA 92122 | 2017-09-19 |
| 1154747103 | Rebecca Jackson | Nurse Practitioner | 3655 Nobel Drive, Suite 660, Peak Health Solutions, San Diego, CA 92122 | 2014-03-14 |
| 1851726582 | Grace Lorelei Allen | Doula | 2728 Nansen Avenue, San Diego, CA 92122 | 2013-09-12 |
| 1427301894 | Barry Katzman, M.d., Inc., Apc | Optometrist | 4413 Lajolla Village Dr., Spc. P1, San Diego, CA 92122 | 2012-10-22 |
| 1912295361 | Yingjian Liang | Psychiatry & Neurology | Gillman Drive 9500, San Diego, CA 92122 | 2011-07-19 |
| 1467775486 | David Michael Trejo | Psychologist | 5080 Shoreham Place, Suite 103, San Diego, CA 92122 | 2010-03-04 |
| 1225369556 | Jeffrey J Abrams | Internal Medicine | 3395 Willard St, San Diego, CA 92122 | 2010-01-27 |
| Find all providers in zip 92122 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144392374 | German Trujillo | Dentist | 4520 Executive Dr Ste 220, San Diego, CA 92121-3020 | 2006-11-14 |
| 1629168265 | Allan Joseph Dovigi | Dentist | 9520 Chesapeake Dr, Suite 607, San Diego, CA 92123-1331 | 2006-10-13 |
| 1366450413 | Kenneth Allen Storum | Dentist | 2655 Camino Del Rio North #140, San Diego, CA 92108 | 2006-08-04 |
| 1871526764 | Gerald D. Horner | Dentist | 10668 Hunters Glen Dr, San Diego, CA 92130-4850 | 2006-07-07 |
| 1861452641 | L R Eversole A Dental Corporation | Dentist | 9292 Chesapeake Dr Ste 100, San Diego, CA 92123-1059 | 2006-03-24 |
| 1396282398 | Davies Pathology & Industry, Inc. | Dentist | 9520 Chesapeake Dr, Suite 607, San Diego, CA 92123-1370 | 2017-01-27 |
| 1528317526 | Dovigi Enterprises | Dentist | 9292 Chesapeake Dr, Suite 100, San Diego, CA 92123-1060 | 2012-09-05 |
| 1023216751 | San Diego Specialty Care | Dentist | 5638 Mission Center Rd, #105, San Diego, CA 92108-4348 | 2007-07-03 |
| 1679693550 | Gordon Marvin Rick | Dentist | 5190 Governor Dr, Suite 106, San Diego, CA 92122-2847 | 2007-04-02 |
| 1649230608 | Lewis R Eversole | Dentist | 9292 Chesapeake Dr Ste 100, San Diego, CA 92123-1059 | 2006-03-24 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.