AMELIA LILLIAN BROADNAX (NPI# 1851672075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851672075 |
| Entity Type | Individual |
| Full Name | AMELIA LILLIAN BROADNAX |
| Practice Address |
1250 6th Ave Suite A San Diego CA 92101-4300 |
| Mailing Address |
4385 Rosebud Ln Apt G La Mesa CA 91941-6247 |
| Practice Telephone | 6198108603 |
| Mailing Telephone | 6196547326 |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2014-07-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
1250 6TH AVE SUITE A |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92101-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609808187 | Facika Tafara | Internal Medicine | 1250 6th Ave, Ste100, San Diego, CA 92101-4300 | 2006-07-07 |
| 1275173759 | Jenna Lynn Halseth | Social Worker | 1250 6th Ave, San Diego, CA 92101-4300 | 2020-01-13 |
| 1558834374 | Bh-sdopco, LLC | Psychiatric Hospital | 1250 6th Ave, San Diego, CA 92101-4300 | 2019-01-03 |
| 1831513373 | Family Health Centers of San Diego | Clinic/Center | 1250 6th Ave, Suite 100, San Diego, CA 92101-4300 | 2014-02-04 |
| 1598196768 | Family Health Centers of San Diego Inc | Clinic/Center | 1250 6th Ave, Ste 100, San Diego, CA 92101-4300 | 2013-12-12 |
| 1861838294 | Family Health Centers of San Diego Inc | Clinic/Center | 1250 6th Ave, Suite 100, San Diego, CA 92101-4300 | 2013-05-13 |
| 1588901045 | Family Health Centers of San Diego Inc | Clinic/Center | 1250 6th Ave, Suite 100, San Diego, CA 92101-4368 | 2013-01-03 |
| 1659634517 | Ashkan Vafadaran | Internal Medicine | 1250 6th Ave, Suite 100; Family Health Centers of San Diego, San Diego, CA 92101-4300 | 2012-06-15 |
| 1043542640 | Sharon Lenore Walker | Dental Hygienist | 1250 6th Ave, Apt # 416, San Diego, CA 92101-4300 | 2010-02-05 |
| 1891927760 | April Joy Galka | Case Manager/Care Coordinator | 1250 6th Ave, San Diego, CA 92101-4300 | 2009-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415472 | Ryanleo Flores | Nurse Practitioner | 2017 1st Avenue, Suite 301, San Diego, CA 92101 | 2020-10-18 |
| 1265056048 | Tilbe Yildirim | Student in an Organized Health Care Education/Training Program | 1963 Fourth Ave., San Diego, CA 92101 | 2020-06-08 |
| 1235752585 | Liminal Solutions LLC | Home Health | 845 15th Street, Floors 1-4, San Diego, CA 92101 | 2020-05-21 |
| 1699258459 | Talya Donahue | Peer Specialist | 1045 Ninth Ave, San Diego, CA 92101 | 2018-09-07 |
| 1700380086 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1850 5th Ave, San Diego, CA 92101 | 2018-03-21 |
| 1013436161 | Yasmin Galicianava | Student in an Organized Health Care Education/Training Program | 734 Tenth Ave, San Diego, CA 92101 | 2017-09-10 |
| 1487172516 | Jessica Roach | Counselor | 1045 9th Avenue, San Diego, CA 92101 | 2017-09-09 |
| 1699204099 | Lisa Nunez | Student in an Organized Health Care Education/Training Program | 1963 4th Avenue, San Diego, CA 92101 | 2017-06-08 |
| 1356882245 | Dajah Mone't Lockett | Counselor | 2535 Kettner Blvd Suite 1a4, San Diego, CA 92101 | 2017-03-13 |
| 1649718495 | Luigi Bunyi | Behavior Technician | 501 W Broadway Suite 800, San Diego, CA 92101 | 2017-02-01 |
| Find all providers in zip 92101 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910901 | Eduardo Alberto Perez | Counselor | 8829 Dewsbury Ave, San Diego, CA 92126-2428 | 2020-10-21 |
| 1477166734 | Laura Aida Andrade | Counselor | 4125 Wabash Ave, San Diego, CA 92104-2124 | 2020-08-26 |
| 1679113096 | David Salvador Avalos | Counselor | 3642 Rosa Linda St, San Diego, CA 92154-3653 | 2020-01-14 |
| 1023651692 | Robert Joseph Kassel | Counselor | 6551 Seaman St, San Diego, CA 92120-2629 | 2019-10-25 |
| 1609437979 | Pamela Lynette Hill | Counselor | 3960 W Point Loma Blvd, San Diego, CA 92110-5643 | 2019-06-26 |
| 1154989838 | Victoria Philips | Counselor | 4055 58th St Apt 10, San Diego, CA 92115-6209 | 2019-05-29 |
| 1740847375 | Jessica Cristina Williams | Counselor | 1775 Elm Ave, San Diego, CA 92154-1104 | 2019-05-20 |
| 1659934164 | Virginia Denise Mcswain | Counselor | 220 Euclid Ave Ste 200, San Diego, CA 92114-3644 | 2019-04-19 |
| 1386107324 | Connie Padera | Counselor | 3148 Midway Dr # 113, San Diego, CA 92110-4539 | 2019-04-08 |
| 1154891067 | Vincent Garside | Counselor | 2516 A Sreet, San Diego, CA 92102-9210 | 2018-12-04 |
| 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.