LARA L. CALLAHAN (NPI# 1700065612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700065612 |
| Entity Type | Individual |
| Full Name | LARA L. CALLAHAN |
| Credential | RDMS, PA-C |
| Practice Address |
10666 N Torrey Pines Rd La Jolla CA 92037-1027 |
| Mailing Address |
10170 Sorrento Valley Rd Mail Drop Sv-5 San Diego CA 92121-1604 |
| Practice Telephone | 8586786886 |
| Mailing Telephone | 8587845888 |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2015-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
19154 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10666 N TORREY PINES RD |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073513610 | James Francis Brown | Podiatrist | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2005-07-26 |
| 1356958250 | Tyrone Bryant | Pharmacist | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2020-09-25 |
| 1356965552 | Priya Reddy | Student in an Organized Health Care Education/Training Program | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2020-06-03 |
| 1114541497 | Vivian Sardone | Student in an Organized Health Care Education/Training Program | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2020-06-03 |
| 1174145387 | Samantha Tu Duong | Pharmacist | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2020-05-11 |
| 1144840646 | Lee Kyung Hong | Student in an Organized Health Care Education/Training Program | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2020-04-24 |
| 1548880503 | Aren Ebrahimi | Student in an Organized Health Care Education/Training Program | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2020-04-20 |
| 1295355303 | Max Akihiro Macmillan | Student in an Organized Health Care Education/Training Program | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2020-04-17 |
| 1336768886 | Jean Min | Student in an Organized Health Care Education/Training Program | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2020-04-15 |
| 1780203232 | Sunit Rajit Shah | Student in an Organized Health Care Education/Training Program | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2020-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790288389 | Jonna Lynn Griggs | Physician Assistant | 9400 Campus Point Dr, La Jolla, CA 92037 | 2018-03-09 |
| 1104210913 | Lucia Masi | Physician Assistant | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2015-03-19 |
| 1629303920 | Victoria Marie Vincent | Physician Assistant | 10666 N Torrey Pines Rd, Suite 213, La Jolla, CA 92037-1027 | 2009-10-05 |
| 1629265194 | Brenda Lee Mann | Physician Assistant | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2007-09-28 |
| 1326194333 | Desiree M Evans-claassen | Physician Assistant | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2007-01-25 |
| 1184789695 | Jodi M. Hirsch | Physician Assistant | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894403 | Kathlyn Larco | Physician Assistant | 1233 W Randall Way, West Covina, CA 91790-4747 | 2020-06-07 |
| 1487126421 | Eliza Hughes | Physician Assistant | 860 Oak Park Blvd Ste 101, Arroyo Grande, CA 93420-1800 | 2018-12-31 |
| 1508333873 | Andrew Cantos Malit | Physician Assistant | 409 Bristol Way, Corona, CA 92879-6156 | 2018-10-25 |
| 1578049458 | Ida Jelveh | Physician Assistant | 28096 Edelweiss Ct, Laguna Niguel, CA 92677-7006 | 2018-07-13 |
| 1356833578 | Michael James Gonzalez | Physician Assistant | 1500 E Chevy Chase Dr # 401a401b, Glendale, CA 91206-4152 | 2018-06-04 |
| 1023500592 | Pamela Lambert Pa-c, Inc. | Physician Assistant | 16105 Mariposa Ave, Riverside, CA 92504-8730 | 2018-05-31 |
| 1225532385 | Folsom Physicain Assistant First Assist, Inc | Physician Assistant | Nina Vasiliev Pa-c, 15407 Muller Rd, Plymouth, CA 95669-9770 | 2018-03-22 |
| 1275040008 | Gm Surgical Assistant Inc | Physician Assistant | 15615 Turnberry St, Moreno Valley, CA 92555-4901 | 2018-01-02 |
| 1902311186 | Or Solutions Inc | Physician Assistant | 1501 Secret Ravine Pkwy Unit 527, Roseville, CA 95661-6005 | 2017-12-09 |
| 1184143828 | Alaa Abdalla Daghlas | Physician Assistant | 1100 S Eliseo Dr Ste A, Greenbrae, CA 94904-2017 | 2017-09-13 |
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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.