DR. COURTNEY CLAY PERAZA (NPI# 1669730388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669730388 |
| Entity Type | Individual |
| Full Name | DR. COURTNEY CLAY PERAZA |
| Practice Address |
9500 Gilman Dr Dept 304 La Jolla CA 92093-0304 |
| Practice Telephone | 8585343755 |
| Mailing Telephone | 8585343755 |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| Street Address |
9500 GILMAN DR DEPT 304 |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92093-0304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942529409 | Dianna Quach | Psychologist | 9500 Gilman Dr Dept 304, La Jolla, CA 92093-0304 | 2010-05-24 |
| 1477182996 | Isabelle Therese Creste | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr Dept 304, La Jolla, CA 92093-0304 | 2020-04-06 |
| 1891324679 | Kristina Mendez | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr Dept 304, La Jolla, CA 92093-0304 | 2020-04-03 |
| 1174973192 | Shannon E Franklin | Counselor | 9500 Gilman Dr Dept 304, Caps, La Jolla, CA 92093-0304 | 2016-06-21 |
| 1144601733 | Leakhena Heng Tappero | Counselor | 9500 Gilman Dr Dept 304, La Jolla, CA 92093-0304 | 2015-06-09 |
| 1851771380 | Emily Roberts-parker | Counselor | 9500 Gilman Dr Dept 304, La Jolla, CA 92093-2394 | 2015-05-29 |
| 1043636525 | Fengqin Lian | Psychologist | 9500 Gilman Dr Dept 304, Counseling and Psychological Services (caps), La Jolla, CA 92093-0304 | 2014-03-08 |
| 1174821060 | Niyatee Sukumaran | Psychologist | 9500 Gilman Dr Dept 304, La Jolla, CA 92093-0304 | 2011-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902442908 | Forrest N Ridgway | Pharmacist | 3855 Health Sciences Drive #0845, La Jolla, CA 92093 | 2019-11-25 |
| 1578060067 | Michelle Sloan | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr #0851, La Jolla, CA 92093 | 2018-04-10 |
| 1114372471 | Kevin Ting | Internal Medicine | 9500 Gilman Dr # Mc7411, La Jolla, CA 92093 | 2016-04-24 |
| 1225490147 | Karen Tye | Student in an Organized Health Care Education/Training Program | 3960 Health Sciences Drive, La Jolla, CA 92093 | 2016-03-22 |
| 1457716615 | Christine Pulido | Student in an Organized Health Care Education/Training Program | 9500 Gilman Drive #0851, La Jolla, CA 92093 | 2015-12-15 |
| 1467830489 | Justin Arshed Shaya | Internal Medicine | 3855 Health Sciences Dr #0829, La Jolla, CA 92093 | 2015-05-11 |
| 1225425606 | Brad Hiroshi Kimura | Internal Medicine | 9500 Gilman Dr # Mc9111g, La Jolla, CA 92093 | 2015-04-23 |
| 1407241169 | Courtney Holmes Mckee | Emergency Medicine | 3855 Health Sciences Drive Mc0987, La Jolla, CA 92093 | 2015-03-31 |
| 1528488350 | Arlene Bravo | General Practice | 9500 Gilman Dr # Mc0656, La Jolla, CA 92093 | 2014-04-19 |
| 1710237391 | Chaitanya Pabbati | Psychiatry & Neurology | 9500 Gillman Drive #9116a, La Jolla, CA 92093 | 2012-09-11 |
| Find all providers in zip 92093 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891856647 | Diana Simms Vines | Psychologist | 1881 Caminito Velez, La Jolla, CA 92037-5726 | 2006-12-13 |
| 1366847386 | Jonathan Dator | Psychologist | 9500 Gilman Dr, La Jolla, CA 92093-5004 | 2014-11-03 |
| 1164836524 | Doriane Besson | Psychologist | 9500 Gilman Dr, La Jolla, CA 92093-0304 | 2014-06-13 |
| 1790031524 | Monique Marie Mendoza | Psychologist | 9500 Gilman Dr, #0304, La Jolla, CA 92093-0304 | 2012-07-30 |
| 1780834903 | Christina Castro | Psychologist | 9500 Gilman Dr, Mail Code 0304, La Jolla, CA 92093-5004 | 2008-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376368 | Jamie L Krause | Psychologist | 2134 N Lincoln St Apt 1/2, Burbank, CA 91504-3349 | 2020-11-07 |
| 1861090441 | Illuminating Psychological Services Corporation | Psychologist | 4181 Flat Rock Dr Ste 311, Riverside, CA 92505-7106 | 2020-10-15 |
| 1194322495 | Yong Sue Park | Psychologist | 1913 Wilshire Blvd, Los Angeles, CA 90057-3604 | 2020-10-08 |
| 1811594815 | Dena Schwimmer | Psychologist | 1227 S Genesee Ave, Los Angeles, CA 90019-2407 | 2020-10-03 |
| 1932716222 | Changing Directions Psychological Corporation | Psychologist | 17280 Newhope Street, Suite 4, Fountain Valley, CA 92708 | 2020-09-30 |
| 1932711413 | Tonja M Jackson | Psychologist | 23213 Lynn St, Hayward, CA 94541-7426 | 2020-08-17 |
| 1720606593 | Brejaynae S Joiner | Psychologist | 2310 Mcginley Ave, Antioch, CA 94509-3819 | 2020-07-08 |
| 1407474596 | Devjani Banerjee-stevens | Psychologist | 15 Williamsburg Ln Ste A, Chico, CA 95926-5520 | 2020-07-06 |
| 1255952842 | Sarah E. Wilson, Phd, A Professional Psychology Corporation | Psychologist | 23 Altarinda Road, Suite 201, Orinda, CA 94563 | 2020-05-05 |
| 1427684661 | Lucy Cotter | Psychologist | 205 N Larchmont Blvd, Los Angeles, CA 90004-3706 | 2020-03-19 |
| Find all providers with the same taxonomy | ||||
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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.