MANDOMETER INC. (NPI# 1518025923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518025923 |
Entity Type | Organization |
Organization Name | MANDOMETER INC. |
Other Organization Name | MANDOMETER CLINIC |
Practice Address |
11777 Bernardo Plaza Ct Suite 208 San Diego CA 92128-2405 |
Mailing Address |
11777 Bernardo Plaza Ct Suite 210 San Diego CA 92128-2405 |
Practice Telephone | 8584511008 |
Practice Fax Number | 8584510808 |
Mailing Telephone | 8584511008 |
Mailing Fax Number | 8584510808 |
Enumeration Date | 2006-12-05 |
Last Update Date | 2008-11-10 |
Authorized Official Name | DR. LOUIS MALETZ (MEDICAL DIRECTOR) |
Authorized Official Telephone | 8584511008 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Mandometer Clinic | Doing Business As Name - Organization |
Street Address |
11777 BERNARDO PLAZA CT SUITE 208 |
City | SAN DIEGO |
State | CA |
Zip Code | 92128-2405 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326021643 | Robert Bruce Folk Jr. | Dentist | 11777 Bernardo Plaza Ct, Suite 209, San Diego, CA 92128-2405 | 2005-11-21 |
1013305325 | Theresa Gagos | Psychologist | 11777 Bernardo Plaza Ct, Ste 108, San Diego, CA 92128-2405 | 2015-01-08 |
1891002317 | Thomas Banning Scarfe Jr. | Dentist | 11777 Bernardo Plaza Ct, Suite 101, San Diego, CA 92128-2405 | 2010-09-03 |
1679694319 | William S. Bate, D.m.d.,a.p.c. | Clinic/Center | 11777 Bernardo Plaza Ct, Suite # 207, San Diego, CA 92128-2405 | 2007-04-02 |
1740309798 | William Santford Bate | Dentist | 11777 Bernardo Plaza Ct, Suite #207, San Diego, CA 92128-2405 | 2007-03-29 |
1720102601 | Barry Todd Zimmer | Acupuncturist | 11777 Bernardo Plaza Ct, Suite 107, San Diego, CA 92128-2405 | 2007-03-18 |
1235266842 | John Daniel Brian Jr. | Dentist | 11777 Bernardo Plaza Ct, Suite 209, San Diego, CA 92128-2405 | 2007-02-28 |
1952454514 | Melissa Faith Osgood | Social Worker | 11777 Bernardo Plaza Ct, Suite 210, San Diego, CA 92128-2405 | 2007-01-18 |
1154407963 | Jeffrey Alan Bloch | Dentist | 11777 Bernardo Plaza Ct, Suite 101, San Diego, CA 92128-2405 | 2006-10-27 |
1922109552 | James Douglas Dickinson | Dentist | 11777 Bernardo Plaza Ct, Suite 102, San Diego, CA 92128-2405 | 2006-09-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
Find all providers in zip 92128 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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1972065241 | Rogers Behavioral Health California, Inc | Clinic/Center | 17140 Bernardo Center Dr Ste 300, San Diego, CA 92128-2000 | 2019-04-04 |
1164915401 | New Alternatives Inc. | Clinic/Center | 8755 Aero Dr Ste 306&320, San Diego, CA 92123-1776 | 2018-06-12 |
1396240339 | A Mindful Healing Counseling Center | Clinic/Center | 2307 Fenton Pkwy # 107-239, San Diego, CA 92108-4746 | 2018-03-29 |
1386159374 | Learning To Be Human | Clinic/Center | 835 5th Ave Ste 407, San Diego, CA 92101-6137 | 2017-12-12 |
1194186544 | Telecare Corporation | Clinic/Center | 1660 Hotel Circle North, Suite 101, San Diego, CA 92108-2803 | 2016-03-14 |
1164671749 | Family Health Centers of San Diego, Inc. | Clinic/Center | 2130 National Ave, San Diego, CA 92113-2209 | 2008-09-18 |
1710069281 | Lds Family Services | Clinic/Center | 5675 Ruffin Road, Suite 325, San Diego, CA 92123-1391 | 2006-10-20 |
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.