NOELLE LEIGH VEJTASA (NPI# 1497819452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497819452 |
Entity Type | Individual |
Full Name | NOELLE LEIGH VEJTASA |
Credential | NP |
Practice Address |
16899 W Bernardo Dr San Diego CA 92127-1603 |
Practice Telephone | 8584992702 |
Practice Fax Number | 8585212031 |
Mailing Telephone | 8584992702 |
Mailing Fax Number | 8585212031 |
Enumeration Date | 2006-12-21 |
Last Update Date | 2019-07-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
18900 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
16899 W BERNARDO DR |
City | SAN DIEGO |
State | CA |
Zip Code | 92127-1603 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881683506 | Gabriel Zimmerer | Family Medicine | 16899 W Bernardo Dr, San Diego, CA 92127 | 2005-10-15 |
1578031845 | Diana Philoan Lam-tran | Physical Therapist | 16899 W Bernardo Dr, San Diego, CA 92127-1603 | 2018-11-05 |
1801246962 | Sarah Holgren | Emergency Medicine | 16899 W Bernardo Dr, San Diego, CA 92127-1603 | 2016-06-20 |
1316301047 | Olga Slusher | Family Medicine | 16899 W Bernardo Dr, San Diego, CA 92127-1603 | 2016-04-08 |
1164805354 | Amity Clow | Family Medicine | 16899 W Bernardo Dr, San Diego, CA 92127 | 2015-07-07 |
1053738948 | Jarrod David Matthei | Preventive Medicine | 16899 W Bernardo Dr, San Diego, CA 92127-1603 | 2014-03-28 |
1104264795 | Maia Micaela Uli | Obstetrics & Gynecology | 16899 W Bernardo Dr, San Diego, CA 92127-1603 | 2013-06-05 |
1033401617 | Caron Elizabeth Mcmichael | Pathology | 16899 W Bernardo Dr, San Diego, CA 92127-1603 | 2011-05-13 |
1295039709 | Kathryn Nicole Dorroh | Physical Therapist | 16899 W Bernardo Dr, San Diego, CA 92127-1603 | 2010-12-28 |
1639489503 | Sharp Rees-stealy Medical Group Inc | Optometrist | 16899 W Bernardo Dr, San Diego, CA 92127 | 2010-10-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740800325 | Jacob New | Student in an Organized Health Care Education/Training Program | 10790 Rancho Bernardo Rd., Mail Drop 4s-205, San Diego, CA 92127 | 2020-04-23 |
1376174946 | Marjorie Francisco Noy | Social Worker | 16550 W. Bernardo Drive, Bldg. 8/1688n, San Diego, CA 92127 | 2020-01-31 |
1295253839 | Chelsea Saville | Physical Therapist | 16680 West Bernardo Drive, San Diego, CA 92127 | 2017-09-05 |
1558881862 | Dianna Christine Goodwin | Social Worker | 11031 Via Frontera Suite C, San Diego, CA 92127 | 2017-06-27 |
1164966495 | Kelsey Michaela Bright | Specialist/Technologist | 15778 Camino Crisalida, San Diego, CA 92127 | 2016-12-06 |
1588112924 | Orenda Recovery | Substance Abuse Rehabilitation Facility | 8110 Twilight Point Way, San Diego, CA 92127 | 2016-09-14 |
1063868560 | Jung Oh | Pharmacist | 18087 Valladares Drive, San Diego, CA 92127 | 2016-05-13 |
1225496524 | Davey Dental Corp | Dentist | 16460 Paseo Del Sur, Suite 105, San Diego, CA 92127 | 2016-02-02 |
1942673496 | Davey Dental Corporation | Dentist | 1640 Paseo Del Sur, Suite 105, San Diego, CA 92127 | 2015-11-05 |
1164800025 | Maryam Derakhshani | Dentist | 10960 La Alberca Avenue, San Diego, CA 92127 | 2015-05-12 |
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Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518248152 | Heidi Astrid Pfaff | Nurse Practitioner | 13473 Benbow Ct, San Diego, CA 92129-4402 | 2011-09-08 |
1598947335 | Lynn Helen Dornfeld | Nurse Practitioner | 13153 Paseo Del Verano, San Diego, CA 92128-1837 | 2007-12-04 |
1417170861 | Suzanne Schmidt | Nurse Practitioner | 1075 Camino Del Rio S Ste 200, San Diego, CA 92108-3540 | 2007-04-11 |
1902412885 | Elizabeth A Passot | Nurse Practitioner | 7695 Cardinal Ct Ste 240, San Diego, CA 92123-3357 | 2020-09-16 |
1306185293 | Kalle Ellen Lunden | Nurse Practitioner | 1075 Camino Del Rio S, San Diego, CA 92108-3538 | 2013-02-12 |
1902118219 | Denise Stading | Nurse Practitioner | 1075 Camino Del Rio S, San Diego, CA 92108-3538 | 2010-07-02 |
1265638993 | Kelly Shields | Nurse Practitioner | 3343 4th Ave, San Diego, CA 92103-5703 | 2007-06-21 |
1376768622 | Carol Ann Combs-phaklides | Nurse Practitioner | 1075 Camino Del Rio S, San Diego, CA 92108-3538 | 2007-04-13 |
1467576736 | Ofelia C Claros | Nurse Practitioner | 4060 Fairmount Ave, San Diego, CA 92105-1608 | 2007-03-19 |
1497890479 | Melissa Anne Gunderson | Nurse Practitioner | 3811 Valley Centre Dr, San Diego, CA 92130-3318 | 2007-02-20 |
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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.