CARRIE KIMBERLY RATHBURN (NPI# 1831315498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831315498 |
| Entity Type | Individual |
| Full Name | CARRIE KIMBERLY RATHBURN |
| Credential | PA-C |
| Practice Address |
4650 Palm Ave San Diego CA 92154-8404 |
| Mailing Address |
4824 Alfred Ave San Diego CA 92120-1023 |
| Practice Telephone | 9492941263 |
| Mailing Telephone | 9492941263 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2016-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA18041 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4650 PALM AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92154-8404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396732715 | Michael Joseph Distefano | Physical Therapist | 4650 Palm Ave, San Diego, CA 92154-8404 | 2005-09-30 |
| 1164900312 | Phillip Frangie | Respiratory Therapist, Registered | 4650 Palm Ave, San Diego, CA 92154-8404 | 2018-07-31 |
| 1902393416 | Anthony Rossetti | Physical Therapist | 4650 Palm Ave, San Diego, CA 92154-8404 | 2018-04-19 |
| 1447766589 | Eleanor Del Rosario Pizarro | Nurse Practitioner | 4650 Palm Ave, San Diego, CA 92154-8404 | 2017-12-27 |
| 1689110827 | Lauren Aragon | Pharmacist | 4650 Palm Ave, San Diego, CA 92154-8404 | 2017-01-11 |
| 1538528161 | Khanh Minh Nguyen | Pharmacist | 4650 Palm Ave, San Diego, CA 92154-8404 | 2016-02-10 |
| 1326410747 | Diane Del Rosario | Pharmacist | 4650 Palm Ave, San Diego, CA 92154-8404 | 2015-10-25 |
| 1649671686 | Sang Hui Luu | Pharmacist | 4650 Palm Ave, Kaiser Otay Mesa Outpatient Pharmacy, San Diego, CA 92154-8404 | 2014-09-09 |
| 1568878080 | Carina Lopez | Student in an Organized Health Care Education/Training Program | 4650 Palm Ave, San Diego, CA 92154-8404 | 2014-07-03 |
| 1548675754 | Aimee Anselm | Pediatrics | 4650 Palm Ave, San Diego, CA 92154-8404 | 2014-06-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952922783 | Rosalie Ramos Gayares | Licensed Vocational Nurse | Del Sur Crisis Center, San Diego, CA 92154 | 2020-05-04 |
| 1720625791 | Michelle Lynn Mason | Counselor | 892 27th Street, San Diego, CA 92154 | 2019-12-09 |
| 1538604020 | Victor Luis Assid | Counselor | 3069 Camino Aleta, San Diego, CA 92154 | 2016-12-20 |
| 1710346275 | Abba Transportation Services LLC | Non-emergency Medical Transport (VAN) | 5640 Surfrider Way #255, San Diego, CA 92154 | 2016-02-12 |
| 1851788962 | Danielle D. Weisman | Psychologist | 9335 Airway Rd Ste 202, San Diego, CA 92154 | 2015-04-16 |
| 1215321955 | Carolina Gonzalez-garcia | Marriage & Family Therapist | 3085 Beyer Blvd Ste A103, San Diego, CA 92154 | 2015-03-19 |
| 1285042945 | Maricela Ochoa | Pharmacist | 710 Dennery Road, San Diego, CA 92154 | 2014-07-25 |
| 1376975300 | Shatori R Dearman | Social Worker | 5143 Bay Crest Ln, San Diego, CA 92154 | 2013-08-01 |
| 1912257940 | Bj's Trading LLC | Durable Medical Equipment & Medical Supplies | 9668 Heinrich Hertz Drive Suite G, San Diego, CA 92154 | 2012-09-18 |
| 1881997625 | Tywila Reeves Bivens | Nurse's Aide | 976 Picador Blvd, San Diego, CA 92154 | 2010-12-17 |
| Find all providers in zip 92154 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083213706 | Courtney Kathryn Hopp | Physician Assistant | 4060 Fourth Ave Ste 209, San Diego, CA 92103-2120 | 2020-10-23 |
| 1639776503 | Nathan Tuan Dinh | Physician Assistant | 8296 Via Escalada, San Diego, CA 92129-2223 | 2020-10-05 |
| 1750988671 | Denise Aquino | Physician Assistant | 7322 Mesa College Dr Apt 7, San Diego, CA 92111-4943 | 2020-10-04 |
| 1962009183 | Courtney Krysl | Physician Assistant | 14434 Corte Lampara, San Diego, CA 92129-3818 | 2020-10-01 |
| 1497369284 | Brian Carroll | Physician Assistant | 7242 Melotte St, San Diego, CA 92119-1613 | 2020-08-31 |
| 1871104067 | Satoshi Ikeda | Physician Assistant | 16198 Paseo Del Sur, San Diego, CA 92127-6155 | 2020-08-12 |
| 1760009989 | Lili Tran | Physician Assistant | 8865 Calle Tragar, San Diego, CA 92129-2156 | 2020-07-03 |
| 1245857259 | Kendra Roberta Witt | Physician Assistant | 11396 Poblado Rd, San Diego, CA 92127-1351 | 2020-06-25 |
| 1336766344 | Brandon Scott Johnson | Physician Assistant | 1540 Oliver Ave Apt C, San Diego, CA 92109-5595 | 2020-06-25 |
| 1104441021 | Kira Ann Tellache | Physician Assistant | 4520 Executive Dr Ste 325, San Diego, CA 92121-3087 | 2020-06-16 |
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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.