KENICHI CARRIGAN


Address: 3235 Albacore Alley, San Diego, CA 92136
Phone: 6195567070

KENICHI CARRIGAN (NPI# 1659341089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 3235 ALBACORE ALLEY
City SAN DIEGO
State CA
Zip Code 92136

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487723318 Brian Wade Legendre General Practice 3235 Albacore Alley, San Diego, CA 92136 2006-11-07

Providers in the same zip code

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 Information

Taxonomy Code 2083P0500X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Preventive Medicine/Occupational Environmental Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City SAN DIEGO
Zip Code 92136

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Dataset Information

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.

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