DR. GORDON MARVIN RICK (NPI# 1679693550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679693550 |
| Entity Type | Individual |
| Full Name | DR. GORDON MARVIN RICK |
| Other Name | DR. GORDON RICK |
| Credential | DDS, MS |
| Practice Address |
5190 Governor Dr Suite 106 San Diego CA 92122-2847 |
| Practice Telephone | 8587840600 |
| Practice Fax Number | 8587840604 |
| Mailing Telephone | 8587840600 |
| Mailing Fax Number | 8587840604 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2008-03-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
20041 | CA | Dental Providers |
| Street Address |
5190 GOVERNOR DR SUITE 106 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92122-2847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851392120 | Gloria Theresa Sigafoos | Physical Therapist | 5190 Governor Dr, #107, San Diego, CA 92122-2847 | 2005-08-09 |
| 1114375854 | Athena Taj | Marriage & Family Therapist | 5190 Governor Dr, Suite #104, San Diego, CA 92122-2847 | 2016-06-02 |
| 1346487386 | Bronwyn Groesbeck Spiegel | Marriage & Family Therapist | 5190 Governor Dr, Suite 104, San Diego, CA 92122-2847 | 2009-01-13 |
| 1063683357 | Gordon M Rick | Clinical Medical Laboratory | 5190 Governor Dr, Suite 106, San Diego, CA 92122-2847 | 2008-03-14 |
| 1568671741 | Patricia Ann Stanley | Marriage & Family Therapist | 5190 Governor Dr, Suite 104, San Diego, CA 92122-2847 | 2007-05-22 |
| 1194945212 | Caroline Scott Depottel | Psychologist | 5190 Governor Dr, Ste 102, San Diego, CA 92122-2848 | 2007-04-30 |
| 1821126632 | Carolyn E. Hudson | Psychologist | 5190 Governor Dr, Suite 101, San Diego, CA 92122-2847 | 2007-03-01 |
| 1821138884 | Rebecca J Kenyon | Marriage & Family Therapist | 5190 Governor Dr, Suite #104, San Diego, CA 92122-2847 | 2007-02-07 |
| 1518012137 | John Joseph Perna | Psychologist | 5190 Governor Dr, Suite 101, San Diego, CA 92122-2847 | 2007-01-24 |
| 1356496343 | Psychological Professionals Incorporated | Psychologist | 5190 Governor Dr, Suite 101, San Diego, CA 92122-2847 | 2007-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912561630 | Neal Yacoo | Pharmacist | 9085 Judicial Drive #2137, San Diego, CA 92122 | 2019-04-29 |
| 1598242828 | Gena Rachel Katzer | Social Worker | 3246 Willard St, San Diego, CA 92122 | 2018-07-19 |
| 1164919791 | Janine Marie Battaglia | Nurse Practitioner | Scripps Health Express, 4350 La Jolla Villlage Drive Ste 130, San Diego, CA 92122 | 2018-04-19 |
| 1669991899 | Lindsay Y Ditmars | Pharmacist | 7545 Charmant Dr. #1322, 1322, San Diego, CA 92122 | 2017-09-19 |
| 1154747103 | Rebecca Jackson | Nurse Practitioner | 3655 Nobel Drive, Suite 660, Peak Health Solutions, San Diego, CA 92122 | 2014-03-14 |
| 1851726582 | Grace Lorelei Allen | Doula | 2728 Nansen Avenue, San Diego, CA 92122 | 2013-09-12 |
| 1427301894 | Barry Katzman, M.d., Inc., Apc | Optometrist | 4413 Lajolla Village Dr., Spc. P1, San Diego, CA 92122 | 2012-10-22 |
| 1912295361 | Yingjian Liang | Psychiatry & Neurology | Gillman Drive 9500, San Diego, CA 92122 | 2011-07-19 |
| 1467775486 | David Michael Trejo | Psychologist | 5080 Shoreham Place, Suite 103, San Diego, CA 92122 | 2010-03-04 |
| 1225369556 | Jeffrey J Abrams | Internal Medicine | 3395 Willard St, San Diego, CA 92122 | 2010-01-27 |
| Find all providers in zip 92122 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487082046 | Scripps Oral Pathology Service, LLC | Dentist | 5190 Governor Dr Ste 106, San Diego, CA 92122-2848 | 2013-10-17 |
| 1144392374 | German Trujillo | Dentist | 4520 Executive Dr Ste 220, San Diego, CA 92121-3020 | 2006-11-14 |
| 1629168265 | Allan Joseph Dovigi | Dentist | 9520 Chesapeake Dr, Suite 607, San Diego, CA 92123-1331 | 2006-10-13 |
| 1366450413 | Kenneth Allen Storum | Dentist | 2655 Camino Del Rio North #140, San Diego, CA 92108 | 2006-08-04 |
| 1871526764 | Gerald D. Horner | Dentist | 10668 Hunters Glen Dr, San Diego, CA 92130-4850 | 2006-07-07 |
| 1861452641 | L R Eversole A Dental Corporation | Dentist | 9292 Chesapeake Dr Ste 100, San Diego, CA 92123-1059 | 2006-03-24 |
| 1396282398 | Davies Pathology & Industry, Inc. | Dentist | 9520 Chesapeake Dr, Suite 607, San Diego, CA 92123-1370 | 2017-01-27 |
| 1528317526 | Dovigi Enterprises | Dentist | 9292 Chesapeake Dr, Suite 100, San Diego, CA 92123-1060 | 2012-09-05 |
| 1023216751 | San Diego Specialty Care | Dentist | 5638 Mission Center Rd, #105, San Diego, CA 92108-4348 | 2007-07-03 |
| 1649230608 | Lewis R Eversole | Dentist | 9292 Chesapeake Dr Ste 100, San Diego, CA 92123-1059 | 2006-03-24 |
| 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.