JILL M. LUNDSTROM (NPI# 1770946543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770946543 |
Entity Type | Individual |
Full Name | JILL M. LUNDSTROM |
Credential | M.D. |
Practice Address |
10243 Genetic Center Dr San Diego CA 92121-6310 |
Practice Telephone | 5083341000 |
Mailing Telephone | 5087357091 |
Enumeration Date | 2016-03-30 |
Last Update Date | 2019-12-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | A162159 | CA | Allopathic & Osteopathic Physicians |
Street Address |
10243 GENETIC CENTER DR |
City | SAN DIEGO |
State | CA |
Zip Code | 92121-6310 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346240967 | Eric R Lovell | Emergency Medicine | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2005-07-26 |
1811551930 | Samantha Timanus | Physical Therapist | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2019-04-24 |
1689169062 | Ylan Ton | Physical Therapist | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2018-06-27 |
1861908386 | Ashley Jennifer Ennedy | Preventive Medicine | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2017-12-19 |
1265979744 | Hossein Manavizadeh | Pharmacist | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2017-01-23 |
1821533985 | Jessica Llamas | Specialist/Technologist | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2016-12-28 |
1447610571 | Christina N Nakashima | Pharmacist | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2016-03-02 |
1033578661 | Patricia Polikoff | Pharmacist | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2016-02-10 |
1265859524 | Angela Sung | Psychiatry & Neurology | 10243 Genetic Center Dr, San Diego, CA 92121 | 2014-03-25 |
1194157172 | Courtney Lynn Aivati | Speech-Language Pathologist | 10243 Genetic Center Dr, San Diego, CA 92121 | 2013-08-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
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Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700342748 | San Diego Uptown Pediatric Medical Group, Inc | Pediatrics | 3500 Fifth Ave Ste 101, San Diego, CA 92103-5020 | 2019-02-14 |
1467976340 | Cheryl Adele Burian | Pediatrics | 6572 Cascade St, San Diego, CA 92122-2425 | 2017-08-01 |
1043747819 | Karen Chan | Pediatrics | 3030 Childrens Way Fl 4, San Diego, CA 92123-4232 | 2017-05-11 |
1922462209 | Meaghan Wido | Pediatrics | Naval Medical Ctr 34800 Bob Wilson Drive, San Diego, CA 92134-5000 | 2016-04-12 |
1427434679 | Coast Pediatrics Carmel Valley | Pediatrics | 5965 Village Drive, Suite 201, San Diego, CA 92130 | 2015-08-10 |
1194104521 | Charles E Pohl IIi | Pediatrics | 3020 Childrens Way # Mc5065, San Diego, CA 92123-4223 | 2015-05-18 |
1477948479 | Thuan Diep | Pediatrics | 12036 Scripps Highlands Dr Ste 102, San Diego, CA 92131-5155 | 2015-04-06 |
1518352970 | Karen Ki Won Lee | Pediatrics | 3020 Childrens Way # Mc5035, San Diego, CA 92123-4223 | 2015-04-02 |
1730594235 | Jessie Su Bowers | Pediatrics | 12036 Scripps Highlands Dr # 102, San Diego, CA 92131-5155 | 2014-06-24 |
1154683043 | Daniel Micah Lichtmann | Pediatrics | 15004 Innovation Drive, San Diego, CA 92128 | 2012-06-15 |
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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.