LILLIAN H PAK (NPI# 1629690946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629690946 |
| Entity Type | Individual |
| Full Name | LILLIAN H PAK |
| Credential | FNP-C |
| Practice Address |
9888 Genesee Ave La Jolla CA 92037-1205 |
| Mailing Address |
7840 Stalmer St Apt B14 San Diego CA 92111-4418 |
| Practice Telephone | 8586264123 |
| Mailing Telephone | 8582438424 |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2020-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 9502258 | CA | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | F02200528 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9888 GENESEE AVE |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700886207 | Gregory Daniel Medley | Pharmacist | 9888 Genesee Ave, Lj-18, La Jolla, CA 92037-1276 | 2005-07-26 |
| 1548867864 | Caitlin Hopkins | Physician Assistant | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2020-10-08 |
| 1750998191 | Ginger Lo | Pharmacist | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2020-09-29 |
| 1265045652 | Leslie Ann Reynolds | Nurse Practitioner | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2020-08-26 |
| 1285274894 | Diane Morgan | Pharmacist | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2020-01-11 |
| 1326684473 | Gina Marie Costi-wong | Speech-Language Pathologist | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2019-11-25 |
| 1144866294 | Cedar Raymond | Speech-Language Pathologist | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2019-11-25 |
| 1831735232 | Kyle Wade | Speech-Language Pathologist | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2019-11-20 |
| 1558903682 | Rajvi Rajesh Patel | Pharmacist | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2019-10-10 |
| 1346801289 | Compassion Breast Inc | Internal Medicine | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2019-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627494 | Jessica Merchant | Nurse Practitioner | 9834 Genesee Ave Ste 412, La Jolla, CA 92037-1264 | 2020-07-30 |
| 1659912723 | Kristin Lulich Advanced Practice Registered Nursing, Inc. | Nurse Practitioner | 1120 Silverado St, La Jolla, CA 92037-4524 | 2019-09-30 |
| 1205283470 | Robbin Mariana Kaanana-gerras | Nurse Practitioner | 5670 Calle Miramar, La Jolla, CA 92037-7127 | 2016-05-18 |
| 1316333792 | Stephanie Silvia Tomicich | Nurse Practitioner | 9850 Genesee Ave Ste 440, La Jolla, CA 92037-1212 | 2015-04-13 |
| 1538427109 | Karen Ann Lappas | Nurse Practitioner | 2294 Caminito Preciosa Norte, La Jolla, CA 92037-7230 | 2012-05-02 |
| 1891061966 | Sharon Lesley Mick | Nurse Practitioner | 9350 Campus Point Dr # 970, Lla, La Jolla, CA 92037-1300 | 2012-03-22 |
| 1063662153 | Rebecca Ann Mcalpin | Nurse Practitioner | 3855 Health Sciences Dr # 698, La Jolla, CA 92093-0698 | 2008-09-24 |
| 1326267816 | S.kathryn Boe | Nurse Practitioner | 9415 Campus Pointe Dr, Mail Code - 0946, La Jolla, CA 92093-0946 | 2007-04-24 |
| 1841275328 | Monica A Garcia | Nurse Practitioner | 9500 Gilman Dr # Mc0039, Student Health Services, La Jolla, CA 92093-0039 | 2005-12-07 |
| 1265045652 | Leslie Ann Reynolds | Nurse Practitioner | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2020-08-26 |
| Find all providers in LA JOLLA | ||||
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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.