MR. RICHARD VAN GOETHEM (NPI# 1831363449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831363449 |
| Entity Type | Individual |
| Full Name | MR. RICHARD VAN GOETHEM |
| Practice Address |
995 Gateway Center Way Ste 300 San Diego CA 92102-4550 |
| Practice Telephone | 6193982156 |
| Practice Fax Number | 6193982168 |
| Mailing Telephone | 6193982156 |
| Mailing Fax Number | 6193982168 |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2011-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
465143 | CA | Nursing Service Providers |
| Street Address |
995 GATEWAY CENTER WAY STE 300 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92102-4550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700954559 | Edlinda Malapit | Case Manager/Care Coordinator | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2006-12-01 |
| 1245843390 | Claude Antonio Cintron | Counselor | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2020-08-28 |
| 1174149736 | Heidi Anthony | Counselor | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2020-06-19 |
| 1548896129 | Brooklyn Haller | Registered Nurse | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2020-03-16 |
| 1821620733 | Sierra Shalee Weischedel | Counselor | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2020-02-08 |
| 1255961926 | Wendy R Sattam | Counselor | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2020-01-22 |
| 1306476155 | Joshua David Vazquez | Counselor | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2020-01-21 |
| 1477183457 | Elijah Torres | Counselor | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2020-01-18 |
| 1730719840 | Joseph Paquette | Counselor | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2020-01-17 |
| 1912546706 | Veronica Maria Young | Counselor | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2019-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766698 | Daniela Tablas | Behavioral Analyst | 303 47th St Spc D-22, San Diego, CA 92102 | 2020-09-30 |
| 1649745712 | Juliet Lao Kurek | Pharmacist | 2121 Imperial Avenue, San Diego, CA 92102 | 2018-10-04 |
| 1851887020 | Monique Joseph | Counselor | 2410 E. Street, San Diego, CA 92102 | 2018-07-10 |
| 1184166316 | Elise Blanton-hubbard | Counselor | 1850 Dale St, San Diego, CA 92102 | 2016-11-04 |
| 1699221416 | Kari Judith Medina | Student in an Organized Health Care Education/Training Program | 1199 34th Street Apt 11, San Diego, CA 92102 | 2016-08-31 |
| 1942674536 | Caitlin Hillary Dablow | Speech-Language Pathologist | 1201 34th Street, San Diego, CA 92102 | 2015-11-19 |
| 1134508179 | Jonathan Waters | Military Health Care Provider | 1233 22nd Street, Unit 8, San Diego, CA 92102 | 2015-05-22 |
| 1871989913 | Abraham Greenberg | Pediatrics | 15 Balfour Street, Jerusalem, ISRAEL 92102 | 2015-04-15 |
| 1023421021 | Elmira Aghdam | Chiropractor | 5030 Bonita Rd Ste#b, Bonita, CA 92102 | 2014-06-06 |
| 1487092540 | Sherry Scott | Marriage & Family Therapist | 995 Gateway Center Drive #300, San Diego, CA 92102 | 2013-06-11 |
| Find all providers in zip 92102 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689204265 | Juvelyn Isip Ingal | Registered Nurse | 3853 Rosecrans St # Ca92110, San Diego, CA 92110-3115 | 2020-01-22 |
| 1043859531 | Klair Grace | Registered Nurse | 6460 Convoy Ct Spc 115, San Diego, CA 92117-2314 | 2019-12-31 |
| 1225509656 | Erwin Orio Fong | Registered Nurse | 3853 Rosecran St, San Diego, CA 92110-3115 | 2018-12-11 |
| 1780139220 | Sarah Sangalang Villanueva | Registered Nurse | 1625 Chalcedony St, 205, San Diego, CA 92109-3169 | 2016-08-24 |
| 1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
| 1063870376 | Matthew O'connor | Registered Nurse | 3417 Front St, San Diego, CA 92103-4813 | 2016-02-01 |
| 1417320599 | Brittany Moore | Registered Nurse | 4335 Hamilton St Apt 6, San Diego, CA 92104-1271 | 2015-11-11 |
| 1174992812 | Farren Kelly Joynes | Registered Nurse | 6713 Waterman Ct, San Diego, CA 92111-6033 | 2015-09-23 |
| 1922476886 | Nichole Jimmi | Registered Nurse | 1670 Kettner Blvd, Apt 122, San Diego, CA 92101-2522 | 2015-09-09 |
| 1700158672 | Vitaly Juravsky | Registered Nurse | 3853 Rosecrans Street San Diego, Ca, San Diego, CA 92110 | 2012-02-07 |
| 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.