DR. EVAN YALE SNYDER (NPI# 1629187323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629187323 |
| Entity Type | Individual |
| Full Name | DR. EVAN YALE SNYDER |
| Credential | M.D., PHD |
| Practice Address |
402 Dickinson St San Diego CA 92103-6902 |
| Mailing Address |
722 Glenview Ln La Jolla CA 92037-5424 |
| Practice Telephone | 6195433794 |
| Mailing Telephone | 8587291984 |
| Mailing Fax Number | 8587955273 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G86951 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356700637 | Evan Snyder | Physical Therapist | 4102 Ogletown Stanton Rd, Ste B, Newark, DE 19713-4183 | 2016-02-16 |
| Street Address |
402 DICKINSON ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-6902 |
| 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 |
| 1528322393 | Tyler Woodell | Internal Medicine | 402 Dickinson St, Suite 380, San Diego, CA 92103 | 2012-06-26 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541463 | Serena Mink | Specialist | 100 Park Plz Apt 407, San Diego, CA 92101-6710 | 2020-06-02 |
| 1023648201 | Pamela Renea Crane | Specialist | 3237 Meade Ave, San Diego, CA 92116-4519 | 2020-01-16 |
| 1184199853 | Oliver Rakeem Taylor | Specialist | 1265 Angelus Ave, San Diego, CA 92114-3108 | 2018-10-09 |
| 1376040923 | Mark Edmond Rierson | Specialist | 2333 1st Ave Ste 106, San Diego, CA 92101-1538 | 2018-04-10 |
| 1790232635 | Cristina Zheng-castruita | Specialist | 9308 Babauta Rd, Apt. 62, San Diego, CA 92129-4922 | 2016-09-08 |
| 1689027955 | Neelam Agashe | Specialist | 3445 Lebon Dr Apt 1215, San Diego, CA 92122-5267 | 2016-07-21 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| 1952765935 | Jacqueline Morgan | Specialist | 9625 Black Mountain Rd Ste 300, San Diego, CA 92126-4598 | 2016-04-06 |
| 1710341862 | Comprehensive Medical Reporting Services | Specialist | 9040 Friars Rd., Ste. 410, San Diego, CA 92108 | 2016-04-05 |
| 1790150555 | Mahmood Nazari | Specialist | 6209 Lake Apopka Pl, 6209 Lake Apopka Place, San Diego, CA 92119-3520 | 2015-12-04 |
| 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.