MR. MICHAEL ANDREW PALACIO (NPI# 1730357229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730357229 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL ANDREW PALACIO |
| Credential | CNP |
| Practice Address |
7625 Mesa College Dr Ste 315a San Diego CA 92111-5343 |
| Practice Telephone | 8585761011 |
| Practice Fax Number | 8585761025 |
| Mailing Telephone | 8585761011 |
| Mailing Fax Number | 8585761025 |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2019-02-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
95004489 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7625 MESA COLLEGE DR STE 315A |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92111-5343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220653 | Karen Elizabeth Mitchell | Registered Nurse | County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 | 2020-06-18 |
| 1912523804 | Access Medical, Inc. | Durable Medical Equipment & Medical Supplies | 4150 Convoy Street, Suite A, San Diego, CA 92111 | 2020-06-17 |
| 1154944551 | Mei Ling Milan Szeto | Student in an Organized Health Care Education/Training Program | 7917 Ostrow Street, Suite A, San Diego, CA 92111 | 2020-05-20 |
| 1346893831 | Leticia Isabel Peralta | Assistant Behavior Analyst | 563 Balboa Avenue. Number 521, San Diego, CA 92111 | 2019-07-23 |
| 1295204394 | Demetria Serfas | Behavioral Analyst | 563 Balboa Ave #521, San Diego, CA 92111 | 2018-11-19 |
| 1568981678 | Ross Psychology | Psychologist | 4883 Ronson Court, Suite K, San Diego, CA 92111 | 2017-09-11 |
| 1225554587 | Bianca Acosta | Technician, Other | 563 Balboa Ave. #521, San Diego, CA 92111 | 2017-08-18 |
| 1194240085 | Kazuhiro Kato | Dentist | 3707 Convoy St., San Diego, CA 92111 | 2017-08-11 |
| 1073038527 | Joanne Epps-yentz | Licensed Vocational Nurse | 7414 Mesa College Dr. Apt 47, San Diego, CA 92111 | 2017-08-06 |
| 1184158446 | Positive Behavior Supports Corp | Community/Behavioral Health | 563 Balboa Ave, 521, San Diego, CA 92111 | 2017-04-13 |
| Find all providers in zip 92111 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028298 | Kanokwan Kultan | Nurse Practitioner | 15850 Babcock St, San Diego, CA 92127-3680 | 2020-09-22 |
| 1447462130 | Barbara Rose Lome | Nurse Practitioner | Scripps Mercy Hospital- Trauma Dept, 4077 Fifth Avenue, San Diego, CA 92104 | 2007-05-04 |
| 1144267642 | Darlene Mcmiddleton | Nurse Practitioner | 1963 4th Ave, San Diego, CA 92101-2394 | 2006-06-01 |
| 1730176785 | Kristine Lynn Ortiz | Nurse Practitioner | 7901 Frost St, Sharp Memorial Hospital Cardiac Transplant Department, San Diego, CA 92123-2701 | 2005-10-04 |
| 1891310538 | Jordan Ray Noble | Nurse Practitioner | 4077 Fifth Ave, San Diego, CA 92103-2105 | 2020-06-09 |
| 1811543622 | Alexandria Diane Chavez | Nurse Practitioner | 200 W Arbor Dr, San Diego, CA 92103 | 2019-08-16 |
| 1396255121 | Yendry Charlotte Acosta | Nurse Practitioner | 292 Euclid Ave Ste 115, San Diego, CA 92114-3629 | 2017-10-06 |
| 1104346022 | Nicole Marie Murphy | Nurse Practitioner | 7801 Mission Center Ct, Suite 250, San Diego, CA 92108 | 2017-06-21 |
| 1972934958 | Emilee Patel | Nurse Practitioner | 4077 5th Ave, Mer62, San Diego, CA 92103-2105 | 2013-12-02 |
| 1063842078 | Caitlin Gordon | Nurse Practitioner | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2013-11-13 |
| 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.