DR. GREGG ALAN LICHTENSTEIN (NPI# 1598880577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598880577 |
| Entity Type | Individual |
| Full Name | DR. GREGG ALAN LICHTENSTEIN |
| Credential | M.D. |
| Practice Address |
5500 Campanile Dr Student Health Services San Diego State University San Diego CA 92182-0001 |
| Mailing Address |
Student Health Services, San Diego State University 5500 Campanile Drive San Diego CA 92182-4701 |
| Practice Telephone | 6195945281 |
| Practice Fax Number | 6195943638 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
G44467 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
5500 CAMPANILE DR STUDENT HEALTH SERVICES SAN DIEGO STATE UNIVERSITY |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92182-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649206269 | Denise Ann Wiksten | Specialist/Technologist | 5500 Campanile Dr, Dept. of Exercise & Nutritional Sciences, San Diego, CA 92182-0001 | 2006-06-24 |
| 1326663840 | Lisa Marie Contois | Specialist/Technologist | 5500 Campanile Dr, San Diego, CA 92182-0001 | 2020-06-10 |
| 1013547058 | Samantha Queen | Specialist/Technologist | 5500 Campanile Dr, San Diego, CA 92182-0001 | 2020-01-17 |
| 1134777246 | Sara Alyson Leighanne Self | Specialist/Technologist | 5500 Campanile Dr, San Diego, CA 92182-1680 | 2019-09-01 |
| 1033767793 | Eric Estrada | Student in an Organized Health Care Education/Training Program | 5500 Campanile Dr, San Diego, CA 92182-0001 | 2019-08-27 |
| 1376009506 | Kyle Nicholas Llorens | Physical Therapist | 5500 Campanile Dr, San Diego, CA 92182-0001 | 2019-02-12 |
| 1336604990 | Alaina Katherine Nicholas | Student in an Organized Health Care Education/Training Program | 5500 Campanile Dr, San Diego, CA 92182-0001 | 2019-02-07 |
| 1518431972 | Nathaniel Burns Bechtel | Student in an Organized Health Care Education/Training Program | 5500 Campanile Dr, San Diego, CA 92182-0003 | 2019-01-17 |
| 1205325065 | Queenie Soriano | Specialist/Technologist | 5500 Campanile Dr, San Diego, CA 92182-0001 | 2018-05-08 |
| 1558850370 | Kristin Anne Manyak | Specialist/Technologist | 5500 Campanile Dr, San Diego, CA 92182-0001 | 2018-05-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184137861 | Megan Lawler | Specialist/Technologist | 5032 55th Street, San Diego, CA 92182 | 2017-11-16 |
| 1548501703 | Jon Eric Alexander | Counselor | 5500 Campanile Dr., San Diego, CA 92182 | 2013-03-12 |
| 1114575875 | Rand Al Urfali | Student in an Organized Health Care Education/Training Program | 5500 Campanile Drive, San Diego, CA 92182 | 2019-08-27 |
| 1326414988 | Rachel Mahoney | Counselor | 5500 Campanile Drive, San Diego, CA 92182 | 2015-08-18 |
| 1215551551 | Jacob Riley Callahan | Specialist/Technologist | 5302 55th St, San Diego, CA 92182-0001 | 2020-06-02 |
| 1164573234 | Amol Narendra Doshi | Preventive Medicine | Sdsu Calpulli Ctr Health Svcs 5500 Campanile Dr, San Diego, CA 92182-0001 | 2007-01-16 |
| 1710973953 | Cathy Ann Baughman-gross | Nurse Practitioner | 7500 Hardy Ave, San Diego, CA 92182-0001 | 2005-09-22 |
| 1972531994 | Donald Fredrick Kessler | Specialist/Technologist | 5500 Campanille Dr, San Diego, CA 92182-4313 | 2006-06-29 |
| 1033184064 | Carolyn Rae Peters | Specialist/Technologist | 5505 Campanile Dr., Aac 1402, San Diego, CA 92182-4313 | 2006-02-22 |
| 1902443518 | Sergio Miguel Ibarra | Specialist/Technologist | 5500 Campanile Drive, San Diego, CA 92182-4313 | 2019-12-02 |
| Find all providers in zip 92182 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649721150 | Elly Hann | Family Medicine | 8285 Santa Arminta Ave, San Diego, CA 92126-1226 | 2016-10-19 |
| 1093262255 | Allergy Abatement and Relief Medical Group | Family Medicine | 4005 Caminito Terviso, San Diego, CA 92122-1991 | 2016-09-06 |
| 1629192091 | Alsay Medical Group Inc. | Family Medicine | 4440 Euclid Ave, Suite A, San Diego, CA 92115-4522 | 2007-03-19 |
| 1083639470 | George Delgado | Family Medicine | 5030 Camino De La Siesta Ste 106, San Diego, CA 92108-3117 | 2006-07-13 |
| 1073543781 | Gary Kenneth Boone | Family Medicine | 3737 Moraga Ave Ste B408, San Diego, CA 92117-5364 | 2006-07-05 |
| 1578504601 | Thomas Severin Buehner | Family Medicine | 2121 5th Avenue, Suite 202, San Diego, CA 92101-2139 | 2006-06-09 |
| 1356757603 | Adam Berk Sacks | Family Medicine | 9333 Genesee Ave Ste 200, San Diego, CA 92121-2113 | 2014-07-08 |
| 1053670596 | Robert Houghton, M.d., Inc. | Family Medicine | 1855 1st Ave, Ste. 200b, San Diego, CA 92101-2685 | 2012-05-03 |
| 1124307970 | Get Well Stay Well Medical | Family Medicine | 1945 Garnet Ave, San Diego, CA 92109-3595 | 2011-08-11 |
| 1730312877 | Rahul Reddy Kolavala | Family Medicine | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2009-08-24 |
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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.