JAMES WILLMORE (NPI# 1770014516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770014516 |
| Entity Type | Individual |
| Full Name | JAMES WILLMORE |
| Credential | DPM |
| Practice Address |
4077 Fifth Ave # Mer35 San Diego CA 92103-2105 |
| Mailing Address |
272 N Spring Creek Pkwy Providence UT 84332-9775 |
| Practice Telephone | 4355123659 |
| Mailing Telephone | 4355123659 |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2020-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
11690691-0501 | UT | Podiatric Medicine & Surgery Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497976351 | James Willmore | Pharmacist | 1400 N 500 E, Logan, UT 84341-2455 | 2007-05-01 |
| Street Address |
4077 FIFTH AVE # MER35 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-2105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205011368 | Jenna Lavina | Internal Medicine | 4077 Fifth Ave # Mer35, San Diego, CA 92103-2105 | 2008-01-07 |
| 1912528837 | Spencer Hoostal | Student in an Organized Health Care Education/Training Program | 4077 Fifth Ave # Mer35, San Diego, CA 92103-2105 | 2020-05-01 |
| 1801417720 | Maysam Riadh | Student in an Organized Health Care Education/Training Program | 4077 Fifth Ave # Mer35, San Diego, CA 92103-2105 | 2020-05-01 |
| 1033748074 | Eric Tran | Student in an Organized Health Care Education/Training Program | 4077 Fifth Ave # Mer35, San Diego, CA 92103-2105 | 2020-04-02 |
| 1841828142 | Robert Joseph Weingart | Student in an Organized Health Care Education/Training Program | 4077 Fifth Ave # Mer35, San Diego, CA 92103-2105 | 2020-03-31 |
| 1699303008 | Michael Philip Ryan | Student in an Organized Health Care Education/Training Program | 4077 Fifth Ave # Mer35, San Diego, CA 92103-2105 | 2020-03-31 |
| 1215565114 | Elsie Rose Bigelow | Student in an Organized Health Care Education/Training Program | 4077 Fifth Ave # Mer35, San Diego, CA 92103-2105 | 2020-03-28 |
| 1124656020 | Spencer Bigelow | Student in an Organized Health Care Education/Training Program | 4077 Fifth Ave # Mer35, San Diego, CA 92103-2105 | 2020-03-28 |
| 1235767070 | Davis Marc Vigneault | Student in an Organized Health Care Education/Training Program | 4077 Fifth Ave # Mer35, San Diego, CA 92103-2105 | 2020-03-28 |
| 1619505666 | Rahul Fred Gomez | Student in an Organized Health Care Education/Training Program | 4077 Fifth Ave # Mer35, San Diego, CA 92103-2105 | 2020-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437348919 | Ryan Yen Choy Lee | Podiatrist | 2650 Camino Del Rio N Ste 101, San Diego, CA 92108-1630 | 2007-10-19 |
| 1295899888 | Podiatry Associates of San Diego | Podiatrist | 3330 Third Avenue #402, San Diego, CA 92103-5639 | 2006-12-20 |
| 1962517508 | Patricia Lynn Forg | Podiatrist | 3989 32nd St, San Diego, CA 92104-2001 | 2006-08-21 |
| 1730111469 | Renee Gregorio | Podiatrist | 3636 5th Ave, #300, San Diego, CA 92103-4230 | 2006-07-06 |
| 1962456400 | Richard M and Donald R Green Ptrs Dba San Diego Podiatry Group | Podiatrist | 2650 Camino Del Rio N, Suite 101, San Diego, CA 92108-1621 | 2006-05-20 |
| 1053317545 | Nicholas Nelson Desantis | Podiatrist | 2306 6th Ave, San Diego, CA 92101-1643 | 2005-06-21 |
| 1013911395 | Sophie I Liu | Podiatrist | 7297 Ronson Rd Ste H, San Diego, CA 92111-1428 | 2005-06-02 |
| 1073128385 | Aisha Ahmed, Dpm, Inc. | Podiatrist | 8901 Activity Rd Ste 205, San Diego, CA 92126-4436 | 2020-09-14 |
| 1295249902 | San Diego Foot & Ankle, Inc | Podiatrist | 2650 Camino Del Rio N Ste 101, San Diego, CA 92108-1630 | 2017-11-17 |
| 1699138891 | Matthew Wilson | Podiatrist | 5555 Reservoir Dr Ste 104, San Diego, CA 92120-5198 | 2016-04-04 |
| 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.