DR. NOUREDDIN DEAN NOURBAKHSH (NPI# 1801082003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801082003 |
| Entity Type | Individual |
| Full Name | DR. NOUREDDIN DEAN NOURBAKHSH |
| Credential | D.O. |
| Practice Address |
8001 Frost St San Diego CA 92123-2746 |
| Mailing Address |
3020 Childrens Way Mc5003 San Diego CA 92123-4223 |
| Practice Telephone | 8589668052 |
| Mailing Telephone | 8583096300 |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2017-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
20A11746 | CA | Allopathic & Osteopathic Physicians |
| Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
20A11746 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
8001 FROST ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-2746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861474561 | James C Perry | Pediatrics | 8001 Frost St, Entrance 9, San Diego, CA 92123-2746 | 2005-11-17 |
| 1790290393 | Aditi Trivedi | Student in an Organized Health Care Education/Training Program | 8001 Frost St, San Diego, CA 92123-2746 | 2017-12-05 |
| 1902223373 | Clare Eileen Skora | Psychiatry & Neurology | 8001 Frost St, San Diego, CA 92123-2746 | 2014-03-24 |
| 1376972174 | Cheryl Ripp | Nurse Practitioner | 8001 Frost St, San Diego, CA 92123-2746 | 2013-11-02 |
| 1841633914 | Dillon Yungyi Chen | Psychiatry & Neurology | 8001 Frost St, San Diego, CA 92123 | 2013-04-09 |
| 1174870067 | Olivia Kim Mcmanus | Psychiatry & Neurology | 8001 Frost St, San Diego, CA 92123-2746 | 2012-08-09 |
| 1669759148 | Neggy Rismanchi | Pediatrics | 8001 Frost St, San Diego, CA 92123-2746 | 2011-11-10 |
| 1528353521 | Natalie Mari Guido-estrada | Psychiatry & Neurology | 8001 Frost St, Rady Childrens Hospital of San Diego Specialty Clinics, San Diego, CA 92123-2746 | 2011-06-17 |
| 1154630838 | Amber Leigh Contillo | Nurse Practitioner | 8001 Frost St, San Diego, CA 92123-2746 | 2010-09-29 |
| 1568773984 | Jeffrey Joseph Gold | Psychiatry & Neurology | 8001 Frost St, San Diego, CA 92123-2746 | 2010-06-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
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| Taxonomy Code | 2080P0210X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Nephrology |
| A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
| 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/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740295252 | Robert Hon Kwong Mak | Pediatrics | 8001 Frost St, Entrance 10, San Diego, CA 92123-2746 | 2006-07-31 |
| 1811919244 | Elizabeth Grace Ingulli | Pediatrics | 8001 Frost St, Entrance 10, San Diego, CA 92123-2746 | 2006-07-24 |
| 1154391522 | Elizabeth Ferrara | Pediatrics | 34800 Bob Wilson Dr, Department of Pediatrics, San Diego, CA 92134-1098 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730653080 | Nihar Bhakta | Pediatrics | 3430 Sitio Sandia, Carlsbad, CA 92009-8483 | 2019-01-18 |
| 1821304403 | Pediatric Kidney Center Inc | Pediatrics | 5309 Aurora Way, Bakersfield, CA 93306-7808 | 2010-08-20 |
| 1659504959 | Nianzhou Xiao | Pediatrics | 9300 Valley Childrens Pl Dept Of, Madera, CA 93636-8761 | 2009-09-02 |
| 1104066877 | Lyndon & Belinda Senar Mds Inc | Pediatrics | 9840 Brimhall Rd, Bakersfield, CA 93312-2791 | 2009-02-20 |
| 1306052667 | James En-cheh Tong | Pediatrics | 533 Parnassus Ave # U-585, San Francisco, CA 94143-2208 | 2007-05-15 |
| 1487874954 | Elizabeth Michelle Talley | Pediatrics | 300 Pasteur Dr Rm G306, Stanford, CA 94305-2200 | 2007-04-26 |
| 1831266048 | Paul Scott Kurtin | Pediatrics | 1157 Solana Dr, Del Mar, CA 92014-3907 | 2006-11-30 |
| 1780773721 | Hma Mahdavi | Pediatrics | 1760 Termino Ave Ste 214, Long Beach, CA 90804-2169 | 2006-10-11 |
| 1801982301 | Gary Robert Lerner | Pediatrics | 4650sunset Blvd, Los Angeles, CA 90027-6062 | 2006-10-04 |
| 1841214376 | Cynthia Wong | Pediatrics | 300 Pasteur Drive, G306, Stanford, CA 94305-5208 | 2006-07-27 |
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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.