SAMUEL EARLY (NPI# 1649808692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649808692 |
| Entity Type | Individual |
| Full Name | SAMUEL EARLY |
| Credential | MD |
| Practice Address |
9300 Campus Point Dr La Jolla CA 92037-1300 |
| Mailing Address |
108 Moffett Blvd Apt C217 Mountain View CA 94043-4773 |
| Practice Telephone | 8586577000 |
| Mailing Telephone | 3609311963 |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
9300 CAMPUS POINT DR |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811978992 | Bonnie L Eklund | Nurse Practitioner | 9300 Campus Point Dr, Mail Code 7381, La Jolla, CA 92037-1300 | 2005-11-07 |
| 1386259695 | Erin Jenkins | Nurse Practitioner | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-09-14 |
| 1851905657 | Sophia Tang Chung | Pharmacist | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-08-31 |
| 1679184758 | Alexandra Salcedo | Dietitian, Registered | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-08-12 |
| 1982227526 | Omid Jalali | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-05-18 |
| 1023638269 | Daniella Klebaner | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-04-17 |
| 1487283958 | Marissa Robin Craig | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-04-06 |
| 1790313245 | Kenneth Matthew Zabel | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-03-31 |
| 1619504024 | Kathryn D Leonard | Physical Therapist | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-03-25 |
| 1619503679 | Vivian Pan | Occupational Therapist | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-03-20 |
| 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 | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891343539 | Nicki Mashayekan | Student in an Organized Health Care Education/Training Program | 2745 Costebelle Dr, La Jolla, CA 92037-3518 | 2019-08-27 |
| 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 |
| 1003471939 | Hana Marie Russo | Student in an Organized Health Care Education/Training Program | Uc San Diego School of Medicine 9500 Gilman Drive, La Jolla, CA 92093-0001 | 2019-05-06 |
| 1770146813 | Estefania Fernandez | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Dr, Mc 7433, La Jolla, CA 92037-7433 | 2019-04-15 |
| 1538629258 | Lauren Elizabeth Stone | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Dr # 7893, La Jolla, CA 92037-1300 | 2019-03-20 |
| 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 |
| 1164900866 | Sherin Hashem | Student in an Organized Health Care Education/Training Program | 9444 Medical Center Drive Pathology Department, La Jolla, CA 92093-0001 | 2018-08-03 |
| 1598252355 | Morrison Mansour Steel | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr # 851, La Jolla, CA 92093-0851 | 2018-04-17 |
| 1578060067 | Michelle Sloan | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr #0851, La Jolla, CA 92093 | 2018-04-10 |
| 1912404492 | Monica Cory Federoff | Student in an Organized Health Care Education/Training Program | Department of Psychiatry Ucsd 9500 Gilman Drive, La Jolla, CA 92093-4131 | 2018-04-10 |
| 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.