DR. KIMBERLY WOODRUFF (NPI# 1821281262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821281262 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY WOODRUFF |
| Credential | MD |
| Practice Address |
5998 Alcala Park Camino 161 San Diego CA 92110-8001 |
| Practice Telephone | 6192604595 |
| Practice Fax Number | 6192602375 |
| Mailing Telephone | 6192604595 |
| Mailing Fax Number | 6192602375 |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A77373 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699339374 | Kimberly Woodruff | Pharmacist | 1 Old Bridle Path, Lawrenceville, NJ 08648-1080 | 2019-04-28 |
| 1447311733 | Kimberly D Woodruff | Nurse Practitioner | 2701 Nw Vaughn St, Portland, OR 97210-5311 | 2006-12-12 |
| Street Address |
5998 ALCALA PARK CAMINO 161 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92110-8001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649233982 | Carolyn T Greer | Specialist/Technologist | 5998 Alcala Park, San Diego, CA 92110-2476 | 2006-04-08 |
| 1275134009 | Harrison Christopher Garcia | Specialist/Technologist | 5998 Alcala Park, San Diego, CA 92110-8001 | 2020-11-06 |
| 1942818356 | Kristian Jamerson | Nurse Practitioner | 5998 Alcala Park, San Diego, CA 92110-8001 | 2020-07-22 |
| 1174141717 | Wendell J Callahan | Psychologist | 5998 Alcala Park, Mrh 215, San Diego, CA 92110 | 2020-07-09 |
| 1497385553 | Ding Wong | Specialist/Technologist | 5998 Alcala Park, San Diego, CA 92110-8001 | 2020-01-16 |
| 1871078642 | Benjamin K Brunnschweiler | Social Worker | 5998 Alcala Park, San Diego, CA 92110-8001 | 2018-09-27 |
| 1083127815 | Carly Hedegard | Specialist/Technologist | 5998 Alcala Park, San Diego, CA 92110-8001 | 2017-11-15 |
| 1437698677 | Brenna Jean Memole | Registered Nurse | 5998 Alcala Park, Student Health Center, Maher Hall 140, San Diego, CA 92110-2492 | 2017-02-21 |
| 1386181758 | Ashley Marroquin | Specialist/Technologist | 5998 Alcala Park, San Diego, CA 92110-8001 | 2017-01-24 |
| 1962958561 | University of San Diego Student Health Center | Clinic/Center | 5998 Alcala Park, Maher 140, San Diego, CA 92110-8001 | 2016-09-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021713 | Ruben Daniel Gutierrez | Marriage & Family Therapist | 4141 Pacific Coast Hwy, San Diego, CA 92110 | 2019-09-10 |
| 1548724081 | Denise Ellen Thompson | Counselor | 3255 Wings Street, San Diego, CA 92110 | 2019-01-29 |
| 1801378716 | Michelle Lisa Jean Crawford | Student in an Organized Health Care Education/Training Program | 3767 Central Avenue, San Diego, CA 92110 | 2018-09-06 |
| 1427539048 | Allison Turrell | Case Manager/Care Coordinator | 4930 Naples Street, San Diego, CA 92110 | 2018-08-22 |
| 1750872768 | Matthew Langworthy | Physical Therapist | 3405 Kenyon St Ste 212, San Diego, CA 92110 | 2018-05-24 |
| 1245748342 | The One Health Boutique, LLC | Chiropractor | 5350 Riley St, San Diego, CA 92110 | 2018-01-11 |
| 1437670155 | Monique A Fernandez | Counselor | 3132 Jefferson Street, San Diego, CA 92110 | 2017-07-03 |
| 1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| 1912352576 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 3880 Rosecrans Street, San Diego, CA 92110 | 2016-05-02 |
| Find all providers in zip 92110 | ||||
| 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.