MICHAEL KOESTERER (NPI# 1720412976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720412976 |
| Entity Type | Individual |
| Full Name | MICHAEL KOESTERER |
| Practice Address |
6244 El Cajon Blvd Ste 17 San Diego CA 92115-3918 |
| Practice Telephone | (619) 287-8225 |
| Practice Fax Number | 6192874146 |
| Mailing Telephone | (619) 287-8225 |
| Mailing Fax Number | 6192874146 |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7155 Mission Gorge Rd, San Diego, CA 921201130 | 8583000460 | 8583000461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023673597 | Michael James Koesterer | Student in an Organized Health Care Education/Training Program | 730 Oakridge Blvd, Lumberton, NC 28358-2324 | 2019-05-09 |
| Street Address |
6244 EL CAJON BLVD STE 17 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92115-3918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871135848 | Andrea Lyn Silva | Counselor | 6244 El Cajon Blvd Ste 17, San Diego, CA 92115-3918 | 2019-10-11 |
| 1811558083 | Mason Alan Dickinson | Case Manager/Care Coordinator | 6244 El Cajon Blvd Ste 17, San Diego, CA 92115-3918 | 2019-06-27 |
| 1407411176 | Will Goff | Student in an Organized Health Care Education/Training Program | 6244 El Cajon Blvd Ste 17, San Diego, CA 92115-3918 | 2019-05-07 |
| 1336604073 | Teddeaux Leon Lamoureux IIi | Counselor | 6244 El Cajon Blvd Ste 17, San Diego, CA 92115-3918 | 2019-02-06 |
| 1578048716 | Jaqueline Nicole Klingenberg | Counselor | 6244 El Cajon Blvd Ste 17, San Diego, CA 92115-3918 | 2018-10-02 |
| 1619451200 | Mollie Dennehy | Behavior Technician | 6244 El Cajon Blvd Ste 17, San Diego, CA 92115-3918 | 2018-09-19 |
| 1013490085 | Natasha L Standard | Counselor | 6244 El Cajon Blvd Ste 17, San Diego, CA 92115-3918 | 2018-09-14 |
| 1841773686 | Carolyn Marie Church | Case Manager/Care Coordinator | 6244 El Cajon Blvd Ste 17, San Diego, CA 92115-3918 | 2018-09-07 |
| 1053820043 | Jessica Alford | Case Manager/Care Coordinator | 6244 El Cajon Blvd Ste 17, San Diego, CA 92115-3918 | 2017-09-22 |
| 1386051258 | Dragana Zikov | Counselor | 6244 El Cajon Blvd Ste 17, San Diego, CA 92115-3918 | 2014-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313922 | Mayra Ailed Bugarin | Student in an Organized Health Care Education/Training Program | City Heights Family Health Center 5454, El Cajon Blvd, San Diego, CA 92115 | 2020-04-01 |
| 1093369878 | Chang Liu | Counselor | 3539 College Avenue, San Diego, CA 92115 | 2019-07-30 |
| 1689238560 | Donia Ahadian | Student in an Organized Health Care Education/Training Program | City Heights Family Health Center, 5454 El Cajon Blvd, San Diego, CA 92115 | 2019-04-26 |
| 1780157859 | James Michael Sites | Military Health Care Provider | Uss Shoup Ddg 86, San Diego, CA 92115 | 2019-01-10 |
| 1780163006 | Marcos Luis Sandoval | Case Manager/Care Coordinator | 6224 El Cajon Blvd, Suite 17, San Diego, CA 92115 | 2018-08-08 |
| 1437651981 | Phyllis Lynette Pryor | Licensed Vocational Nurse | 4974 El Cajon Blvd Suite A, San Diego, CA 92115 | 2018-03-01 |
| 1982125605 | Ellen Medical Transport | Non-emergency Medical Transport (VAN) | 4587 Winona Ave #5, San Diego, CA 92115 | 2017-07-03 |
| 1992225296 | P'okot LLC | Non-emergency Medical Transport (VAN) | 5511 Adelaide Ave, 26, San Diego, CA 92115 | 2017-06-27 |
| 1578019840 | Alfred Zygmunt Nowak | Specialist/Technologist | 6663 Reservoir Ln, San Diego, CA 92115 | 2016-08-28 |
| 1639534183 | Kalkaal Financial Enterprise, LLC. | Non-emergency Medical Transport (VAN) | 5055 Collwood Blvd., Unit 108, San Diego, CA 92115 | 2015-12-29 |
| Find all providers in zip 92115 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541463 | Serena Mink | Specialist | 100 Park Plz Apt 407, San Diego, CA 92101-6710 | 2020-06-02 |
| 1023648201 | Pamela Renea Crane | Specialist | 3237 Meade Ave, San Diego, CA 92116-4519 | 2020-01-16 |
| 1184199853 | Oliver Rakeem Taylor | Specialist | 1265 Angelus Ave, San Diego, CA 92114-3108 | 2018-10-09 |
| 1376040923 | Mark Edmond Rierson | Specialist | 2333 1st Ave Ste 106, San Diego, CA 92101-1538 | 2018-04-10 |
| 1790232635 | Cristina Zheng-castruita | Specialist | 9308 Babauta Rd, Apt. 62, San Diego, CA 92129-4922 | 2016-09-08 |
| 1689027955 | Neelam Agashe | Specialist | 3445 Lebon Dr Apt 1215, San Diego, CA 92122-5267 | 2016-07-21 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| 1952765935 | Jacqueline Morgan | Specialist | 9625 Black Mountain Rd Ste 300, San Diego, CA 92126-4598 | 2016-04-06 |
| 1710341862 | Comprehensive Medical Reporting Services | Specialist | 9040 Friars Rd., Ste. 410, San Diego, CA 92108 | 2016-04-05 |
| 1790150555 | Mahmood Nazari | Specialist | 6209 Lake Apopka Pl, 6209 Lake Apopka Place, San Diego, CA 92119-3520 | 2015-12-04 |
| 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.