KENICHI CARRIGAN (NPI# 1659341089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659341089 |
Entity Type | Individual |
Full Name | KENICHI CARRIGAN |
Credential | MD |
Practice Address |
3235 Albacore Alley San Diego CA 92136 |
Mailing Address |
2102 Upas St San Diego CA 92104-4046 |
Practice Telephone | 6195567070 |
Enumeration Date | 2006-01-26 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
A70295 | CA | Allopathic & Osteopathic Physicians |
Street Address |
3235 ALBACORE ALLEY |
City | SAN DIEGO |
State | CA |
Zip Code | 92136 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487723318 | Brian Wade Legendre | General Practice | 3235 Albacore Alley, San Diego, CA 92136 | 2006-11-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467930164 | Alexa Clifton | Student in an Organized Health Care Education/Training Program | 2525 Callagan Hwy, Fpo, AA 92136 | 2018-08-03 |
1235501321 | Family Optometric Associates of California, Inc. | Optometrist | 2260 Callahan Hwy, Bldg 3187-a, San Diego, CA 92136 | 2015-10-28 |
1457720427 | Andres Bargados Santamaria IIi | Military Health Care Provider | 116 Cummings Rd, San Diego, CA 92136 | 2015-09-21 |
1932470374 | Robert Bishop Beedles Jr. | Military Health Care Provider | 3380 Sturtevant St, Bldg 57 Second Floor, San Diego, CA 92136 | 2012-01-17 |
1083771877 | Brianna Leigh Rupp | General Practice | Uss Tarawa Lha 1 Fpo Ap 96622-1600, San Diego, CA 92136 | 2007-01-02 |
1396814836 | Alberia Joseph Davis | Military Health Care Provider | Pcd Sampson (ddg-102), 3975 Norman Scott Rd, San Diego, CA 92136 | 2006-11-07 |
1831275866 | Roslyn Jones Jackson | Nurse Practitioner | 2450 Craven Streeet, San Diego, CA 92136 | 2006-10-31 |
1699743534 | Mark L Williamson | Military Health Care Provider | 3325 Senn Road, Comdesron One Building 55 Second Floor, San Diego, CA 92136 | 2006-03-08 |
1467423335 | John M. Hintz | Psychologist | Branch Medical Clinic, Naval Station, San Diego, CA 92136 | 2006-01-30 |
1174593784 | Optometry-vision With Styles, Inc | Optometrist | 2260 Callagan Hwy, Building 3187b Ste 1, San Diego, CA 92136 | 2006-01-25 |
Find all providers in zip 92136 |
Taxonomy Code | 2083P0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Preventive Medicine/Occupational Environmental Medicine |
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326548363 | Paul Manchester | Preventive Medicine | 11159 Corte Pleno Verano, San Diego, CA 92130-2688 | 2018-02-16 |
1144593989 | Laura Buehning | Preventive Medicine | 4015 Carmel View Rd, 184, San Diego, CA 92130-2394 | 2012-02-09 |
1336422252 | Kathleen Gray | Preventive Medicine | 3930 4th Ave Ste 200, San Diego, CA 92103-3119 | 2011-09-27 |
1760775928 | Stephen Frederic Hansen | Preventive Medicine | 1036 Chalcedony St, San Diego, CA 92109-2625 | 2011-05-20 |
1942321930 | Ira Lee Goodman | Preventive Medicine | 4316 Corte De La Fonda, San Diego, CA 92130-2126 | 2007-04-03 |
1174625982 | Marcel Brysk | Preventive Medicine | 4269 Hawk St, `, San Diego, CA 92103-1316 | 2006-09-02 |
1881663581 | Christine Maura Schindler | Preventive Medicine | 3300 Craven Street Building 3300, 32nd Street Naval Station Branch Medical Clinic, San Diego, CA 92136-5599 | 2006-03-15 |
1710979877 | Michael Bezouska | Preventive Medicine | 4490 Fanuel St, San Diego, CA 92109-8737 | 2005-08-16 |
1619977618 | Margaret Ryan | Preventive Medicine | Nhrc Code 25, Box 85122, San Diego, CA 92186-5122 | 2005-08-01 |
1386856896 | John Francis Lorentz | Preventive Medicine | 2001 4th Ave, San Diego, CA 92101-2303 | 2007-05-04 |
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.