NICODEMUS J. GARCIA (NPI# 1669478400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669478400 |
| Entity Type | Individual |
| Full Name | NICODEMUS J. GARCIA |
| Credential | MD |
| Practice Address |
4550 Kearny Villa Rd Ste. 116 San Diego CA 92123-1578 |
| Practice Telephone | 8582791223 |
| Practice Fax Number | 8584677161 |
| Mailing Telephone | 8582791223 |
| Mailing Fax Number | 8584677161 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2012-12-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
104679 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 206935827 | 05 |
| Street Address |
4550 KEARNY VILLA RD STE. 116 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-1578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194129338 | Carol W. Fowler | Social Worker | 4550 Kearny Villa Rd, San Diego, CA 92123-1578 | 2014-10-17 |
| 1487077228 | Jill Baumgartner | Social Worker | 4550 Kearny Villa Rd, San Diego, CA 92123-1578 | 2014-01-30 |
| 1932459351 | Lindsay I Simon | Marriage & Family Therapist | 4550 Kearny Villa Rd, Ste 116, San Diego, CA 92123-1578 | 2012-09-12 |
| 1952651507 | Cecilia Duenas | Psychologist | 4550 Kearny Villa Rd, Ste 116, San Diego, CA 92123-1578 | 2012-09-11 |
| 1528344033 | Holly Partyka Doolittle | Social Worker | 4550 Kearny Villa Rd, Suite #116, San Diego, CA 92123-1578 | 2011-10-28 |
| 1013239730 | Heather Lee St Jean-garcia | Marriage & Family Therapist | 4550 Kearny Villa Rd, Suite 116, San Diego, CA 92123-1578 | 2010-02-22 |
| 1841438413 | Richard L Buccigross Md A Medical Corporation | Psychiatry & Neurology | 4550 Kearny Villa Rd, Suite 214, San Diego, CA 92123-1578 | 2009-02-04 |
| 1871731109 | Grossman Psychological Associates | Psychologist | 4550 Kearny Villa Rd, Ste 214, San Diego, CA 92123-1578 | 2009-01-23 |
| 1184860603 | Alistair Owen Barron | Psychiatry & Neurology | 4550 Kearny Villa Rd, Suite 116, San Diego, CA 92123-1578 | 2009-01-05 |
| 1174786008 | Alison Talcott Bonner | Counselor | 4550 Kearny Villa Rd, Suite 116, San Diego, CA 92123-1578 | 2008-07-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255951620 | Dymphna San Diego Tms Inc | Psychiatry & Neurology | 10850 Baroque Ln Ste A, San Diego, CA 92124-3029 | 2020-04-25 |
| 1316581846 | Botkiss Center for Recovery | Psychiatry & Neurology | 12625 High Bluff Dr Ste 301, San Diego, CA 92130-2054 | 2019-10-28 |
| 1447746169 | Jack Perlov | Psychiatry & Neurology | 3535 Caminito El Rincon, Unit 268, San Diego, CA 92130 | 2018-07-05 |
| 1629501770 | Amanda Suzette Freitas | Psychiatry & Neurology | 11634 Maroon Peak Ct, San Diego, CA 92131-3846 | 2017-04-06 |
| 1114312147 | Jaclyn Joyce | Psychiatry & Neurology | 3344 4th Ave Ste 100, San Diego, CA 92103-5704 | 2015-04-07 |
| 1326433525 | Azin Khazaeli | Psychiatry & Neurology | 4445 Eastgate Mall Fl 2, San Diego, CA 92121-1979 | 2015-04-03 |
| 1083054639 | Kiran Sufian Munir | Psychiatry & Neurology | 8170 Miramar Rd, San Diego, CA 92126-4321 | 2013-06-27 |
| 1457799462 | Charles Howard Merideth | Psychiatry & Neurology | 8889 Rio San Diego Dr, Suite 103, San Diego, CA 92108-1670 | 2013-06-12 |
| 1114363876 | Safi Ahmed | Psychiatry & Neurology | 200 W Arbor Dr # 8809, San Diego, CA 92103-1911 | 2013-05-21 |
| 1639515364 | Paul Joseph Smith | Psychiatry & Neurology | 12520 High Bluff Dr Ste 135, San Diego, CA 92130 | 2013-05-21 |
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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.