TYLER WOODELL (NPI# 1528322393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528322393 |
| Entity Type | Individual |
| Full Name | TYLER WOODELL |
| Credential | MD |
| Practice Address |
402 Dickinson St Suite 380 San Diego CA 92103 |
| Mailing Address |
200 W Arbor Dr # 8409 San Diego CA 92103-1911 |
| Practice Telephone | 6195436287 |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2018-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
A127833 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
402 DICKINSON ST SUITE 380 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609834803 | Kenneth Kaushansky | Internal Medicine | 402 Dickinson St, Mail Code 8811 - Suite 380, San Diego, CA 92103-6902 | 2006-05-04 |
| 1821594359 | Anna Astashchanka | Student in an Organized Health Care Education/Training Program | 402 Dickinson St, San Diego, CA 92103-6902 | 2018-04-03 |
| 1518236272 | Nas Rafi | Emergency Medicine | 402 Dickinson St, Mpf 3-371, San Diego, CA 92103-6902 | 2011-12-23 |
| 1215223474 | Sterling Myles Dubin | Internal Medicine | 402 Dickinson St, Suite 380, San Diego, CA 92103 | 2011-06-24 |
| 1659661718 | Kristina Coale Stillwell | Student in an Organized Health Care Education/Training Program | 402 Dickinson St, Mpf1-140, San Diego, CA 92103-6902 | 2011-04-11 |
| 1427352632 | Susannah Graves | Internal Medicine | 402 Dickinson St, Department of Medicine, Suite 380, San Diego, CA 92103 | 2011-01-03 |
| 1407159726 | Tiffany Nicole Tanaka | Internal Medicine | 402 Dickinson St, Suite 380, San Diego, CA 92103-6902 | 2010-12-08 |
| 1356667406 | Ashmi Doshi | Hospitalist | 402 Dickinson St, Suite 380, San Diego, CA 92103-6902 | 2010-04-14 |
| 1104158104 | Nicholas Penner | Student in an Organized Health Care Education/Training Program | 402 Dickinson St, Suite 380, San Diego, CA 92103-6902 | 2010-02-02 |
| 1083899397 | Bahram Khadivi | Internal Medicine | 402 Dickinson St, Multipurpose Facility, Suite 380, San Diego, CA 92103-6902 | 2008-01-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184019051 | Viet Duy Nguyen | Internal Medicine | 4060 Fourth Ave Ste 220, San Diego, CA 92103-2120 | 2015-03-30 |
| 1659624732 | Dinna Cruz | Internal Medicine | 200 W Arbor Dr # Mc8201, Ucsd Medical Group - Mc 8201, San Diego, CA 92103-1911 | 2012-10-26 |
| 1770834319 | Coleman Albert Mosley Jr. | Internal Medicine | 1855 Lyndon Rd, San Diego, CA 92103-1644 | 2012-09-22 |
| 1205046182 | Shaunak Vijay Rana | Internal Medicine | 1804 Garnet Ave, #721, San Diego, CA 92109-3352 | 2007-05-22 |
| 1811043607 | Robert W Steiner | Internal Medicine | 4168 Front Street, Mc 8781, San Diego, CA 92103-8781 | 2007-01-26 |
| 1437217841 | Samir S Shah | Internal Medicine | 220 W. Arbor Dr. Dept 8781, San Diego, CA 92103-8781 | 2006-12-05 |
| 1609983253 | Robyn Alice Cunard | Internal Medicine | 151 Mail Code, 3350 La Jolla Village Drive, San Diego, CA 92161-0001 | 2006-08-23 |
| 1356312219 | Shagun Chopra-sonthalia | Internal Medicine | 3500 Bob Wilson Dr, San Diego, CA 92121-2666 | 2006-01-30 |
| 1043215502 | Alfredo B. Tiu | Internal Medicine | 200 W Arbor Dr, Owen Clinic, San Diego, CA 92103-9001 | 2005-06-20 |
| 1760487458 | Jadwiga M Alexiewicz | Internal Medicine | 7910 Frost St, Ste 220, San Diego, CA 92123-2771 | 2005-06-17 |
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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.