GRACE ELLEN GATES (NPI# 1497730758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497730758 |
| Entity Type | Individual |
| Full Name | GRACE ELLEN GATES |
| Credential | MD |
| Practice Address |
1075 Camino Del Rio S San Diego CA 92108-3538 |
| Practice Telephone | 6198814500 |
| Practice Fax Number | 6192910959 |
| Mailing Telephone | 6198814500 |
| Mailing Fax Number | 6192910959 |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2017-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | C54094 | CA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 227319 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1075 CAMINO DEL RIO S |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-3538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728538 | Aimee Payumo Tavera | Registered Nurse | 1075 Camino Del Rio S, San Diego, CA 92108-3538 | 2020-10-19 |
| 1376184283 | Alicia Rochelle Diaz Hay | Registered Nurse | 1075 Camino Del Rio S, San Diego, CA 92108-3538 | 2019-10-01 |
| 1700435211 | Priya Reddy | Registered Nurse | 1075 Camino Del Rio S, San Diego, CA 92108-3538 | 2019-09-06 |
| 1922652916 | Nada El-ghezzaoui | Physician Assistant | 1075 Camino Del Rio S, San Diego, CA 92108-3538 | 2019-07-28 |
| 1407314438 | Alba Edmaly Lopez | Registered Nurse | 1075 Camino Del Rio S, San Diego, CA 92108-3538 | 2019-03-08 |
| 1841766920 | Kelsey Javelet Pappas | Physician Assistant | 1075 Camino Del Rio S, San Diego, CA 92108-3538 | 2018-10-16 |
| 1790260644 | Bianca Siravo | Advanced Practice Midwife | 1075 Camino Del Rio S, San Diego, CA 92108-3538 | 2018-09-26 |
| 1285140673 | Heather Nicole Anderson | Registered Nurse | 1075 Camino Del Rio S, San Diego, CA 92108-3538 | 2017-12-20 |
| 1629589767 | Kortney Seever | Registered Nurse | 1075 Camino Del Rio S, San Diego, CA 92108-3538 | 2017-10-17 |
| 1316466527 | Elizabeth Louise Howland | Registered Nurse | 1075 Camino Del Rio S, San Diego, CA 92108-3538 | 2017-09-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316494768 | Samantha Berg | Obstetrics & Gynecology | 9339 Genesee Ave Ste 220, San Diego, CA 92121-2121 | 2016-09-01 |
| 1326495276 | Elizabeth Anne Coulter | Obstetrics & Gynecology | 200 West Arbor Drive, Mc8433, Ucsd Residency Office, San Diego, CA 92103 | 2016-05-20 |
| 1962889121 | Reproductive Sciences Medical Center | Obstetrics & Gynecology | 3661 Valley Centre Dr, Suite 100, San Diego, CA 92130-3321 | 2015-04-27 |
| 1134515695 | Tiffani Phan | Obstetrics & Gynecology | 550 Washington St Ste 331, San Diego, CA 92103-2227 | 2015-04-11 |
| 1437544251 | Lindsey Ann Burnett | Obstetrics & Gynecology | 200 West Arbor Drive, Mailcode 8433, University of California San Diego, San Diego, CA 92103 | 2015-03-30 |
| 1811240906 | Charles Hamrang | Obstetrics & Gynecology | 3250 Bunker Hill, San Diego, CA 92117 | 2012-10-26 |
| 1780955328 | Gerald M Spector | Obstetrics & Gynecology | 4045 Couts St, San Diego, CA 92103-1501 | 2012-01-12 |
| 1841578572 | L Dale Lapp M D Inc | Obstetrics & Gynecology | 4060 4th Ave Ste 640, San Diego, CA 92103-2118 | 2011-07-29 |
| 1114221603 | Leroy Albert Miller | Obstetrics & Gynecology | 2359 Juan Street, San Diego, CA 92103 | 2010-12-27 |
| 1154635415 | Robert J Santella, Md. Inc. | Obstetrics & Gynecology | 4531 College Ave, San Diego, CA 92115-4010 | 2010-07-28 |
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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.