JEENAL ANKIT GORDHANDAS (NPI# 1740765890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740765890 |
| Entity Type | Individual |
| Full Name | JEENAL ANKIT GORDHANDAS |
| Practice Address |
East Campus Office Building, Medical Center Dr La Jolla CA 92037 |
| Mailing Address |
7565 Charmant Dr Unit 412 San Diego CA 92122-5003 |
| Practice Telephone | 8586576772 |
| Mailing Telephone | 4156247424 |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2018-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
EAST CAMPUS OFFICE BUILDING, MEDICAL CENTER DR |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037 |
| 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 |
| 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 |
| 1891288197 | Maria Bernadette Facun | Nurse Practitioner | 10666 N. Torrey Pines Road, N203, La Jolla, CA 92037 | 2018-06-11 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891343539 | Nicki Mashayekan | Student in an Organized Health Care Education/Training Program | 2745 Costebelle Dr, La Jolla, CA 92037-3518 | 2019-08-27 |
| 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 |
| 1003471939 | Hana Marie Russo | Student in an Organized Health Care Education/Training Program | Uc San Diego School of Medicine 9500 Gilman Drive, La Jolla, CA 92093-0001 | 2019-05-06 |
| 1770146813 | Estefania Fernandez | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Dr, Mc 7433, La Jolla, CA 92037-7433 | 2019-04-15 |
| 1538629258 | Lauren Elizabeth Stone | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Dr # 7893, La Jolla, CA 92037-1300 | 2019-03-20 |
| 1164900866 | Sherin Hashem | Student in an Organized Health Care Education/Training Program | 9444 Medical Center Drive Pathology Department, La Jolla, CA 92093-0001 | 2018-08-03 |
| 1598252355 | Morrison Mansour Steel | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr # 851, La Jolla, CA 92093-0851 | 2018-04-17 |
| 1578060067 | Michelle Sloan | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr #0851, La Jolla, CA 92093 | 2018-04-10 |
| 1912404492 | Monica Cory Federoff | Student in an Organized Health Care Education/Training Program | Department of Psychiatry Ucsd 9500 Gilman Drive, La Jolla, CA 92093-4131 | 2018-04-10 |
| 1538696455 | Cameron Wales | Student in an Organized Health Care Education/Training Program | Uc San Diego Department of Pathology 9500 Dr, La Jolla, CA 92093-0001 | 2017-05-23 |
| Find all providers in LA JOLLA | ||||
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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.