DR. KATHERINE MARY OZANICH (NPI# 1598778516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598778516 |
| Entity Type | Individual |
| Full Name | DR. KATHERINE MARY OZANICH |
| Credential | M.D. |
| Practice Address |
16950 Via Tazon San Diego CA 92127-1607 |
| Practice Telephone | 8585212393 |
| Mailing Telephone | 8585212393 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2012-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | G47006 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G470060 | 05 |
| Street Address |
16950 VIA TAZON |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92127-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518938950 | Marie Harriet Adamson | Family Medicine | 16950 Via Tazon, San Diego, CA 92127-1607 | 2006-02-01 |
| 1750865812 | Regents of The University of California | Pharmacy | 16950 Via Tazon, San Diego, CA 92127-1607 | 2018-09-24 |
| 1659864247 | Uc San Diego Health Community Group | Clinic/Center | 16950 Via Tazon, San Diego, CA 92127 | 2018-06-08 |
| 1083961718 | Lori Ann Budniewski | Physical Therapist | 16950 Via Tazon, San Diego, CA 92127-1607 | 2012-08-13 |
| 1407139272 | Audra Budde | Family Medicine | 16950 Via Tazon, San Diego, CA 92127-1607 | 2011-09-27 |
| 1942594486 | Christopher David Best | Physical Therapist | 16950 Via Tazon, San Diego, CA 92127-1607 | 2011-06-01 |
| 1699077917 | Ashley Elgas | Physical Therapist | 16950 Via Tazon, San Diego, CA 92127-1607 | 2010-11-18 |
| 1457676603 | Lora Jean Norman | Specialist | 16950 Via Tazon, San Diego, CA 92127-1607 | 2010-03-31 |
| 1376867812 | Kathy T Sausser | Occupational Therapist | 16950 Via Tazon, San Diego, CA 92127-1607 | 2010-03-25 |
| 1902120603 | Julie Marie Blasius | Physical Therapist | 16950 Via Tazon, San Diego, CA 92127-1607 | 2010-03-24 |
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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 | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399141 | Dermatology Specialists Inc | Dermatology | 4765 Carmel Mountain Rd Ste 201, San Diego, CA 92130-6657 | 2019-11-05 |
| 1306405998 | Mismo Dermatology Group Apc | Dermatology | 8898 Navajo Rd Ste C-349, San Diego, CA 92119-2141 | 2019-06-07 |
| 1609361740 | Seaver Soon Md Inc | Dermatology | 2044 W California St, San Diego, CA 92110-2121 | 2018-06-29 |
| 1700240249 | Alexandra Edelman | Dermatology | 3965 5th Ave Ste 200, San Diego, CA 92103-3107 | 2016-04-11 |
| 1033572391 | Lauren Metterle | Dermatology | 3020 Childrens Way # 5092, San Diego, CA 92123-4223 | 2016-04-03 |
| 1225493323 | Jeanette Jacknin | Dermatology | 12634 Carmel Country Rd, Suite 126, San Diego, CA 92130-3197 | 2015-12-16 |
| 1417330432 | Eugene Tachuk | Dermatology | 3740 Rosecrans St Ste C, San Diego, CA 92110-3126 | 2015-07-08 |
| 1508203563 | Monica Boen | Dermatology | 9339 Genesee Ave Ste 350, San Diego, CA 92121-2150 | 2013-05-31 |
| 1619311164 | David Otto Schairer | Dermatology | 8010 Frost St Ste 602, San Diego, CA 92123 | 2013-04-25 |
| 1295037760 | Susan Ann Kincaid | Dermatology | 1951 4th Ave Ste 202, San Diego, CA 92101-2374 | 2010-12-03 |
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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.