KIMBERLY ANNIS DISTEFANO (NPI# 1851914220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851914220 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANNIS DISTEFANO |
| Credential | LAC |
| Practice Address |
2180 Garnet Ave Ste 1f San Diego CA 92109-3674 |
| Practice Telephone | 8586521332 |
| Mailing Telephone | 8586521332 |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2020-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 18562 | CA | Other Service Providers |
| Street Address |
2180 GARNET AVE STE 1F |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92109-3674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538620786 | San Diego Forensic Psychology Corporation | Psychologist | 4640 Cass Street, # 90422, San Diego, CA 92109 | 2019-03-29 |
| 1982113874 | Holly Mansur | Registered Nurse | 3663 Jewell Street, San Diego, CA 92109 | 2017-09-24 |
| 1669906178 | Kelley Ann Riley | Prevention Professional | 4328 Gresham St, San Diego, CA 92109 | 2017-04-12 |
| 1689113524 | Tyler Marquis | Pharmacist | 2636 Grand Avenue Apartment 326, San Diego, CA 92109 | 2017-02-13 |
| 1912372574 | Lonnie Butler | Doula | 841 Turquoise Street, F-405, San Diego, CA 92109 | 2015-12-08 |
| 1275924995 | Pratima S. Gowdar, Dds, Inc | Dentist | 4655 Cass St. Ste 104, San Diego, CA 92109 | 2015-02-17 |
| 1417388562 | Pacific Rim Pathology Medical Corporation | Clinical Medical Laboratory | 3030 Bunker Hill Street, Suite 201, San Diego, CA 92109 | 2013-11-27 |
| 1023379997 | Eric Berquist | Student in an Organized Health Care Education/Training Program | 2009 Reed Ave, San Diego, CA 92109 | 2012-06-06 |
| 1982996724 | Miramar Health Physicians Group | Acupuncturist | 1321 Garnet Avenue, San Diego, CA 92109 | 2011-05-12 |
| 1902109325 | Anna N Amagou | Behavioral Analyst | 2221 Felspar Street Apt #c, San Diego, CA 92109 | 2010-12-07 |
| Find all providers in zip 92109 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518567643 | Jewel In The Lotus Healing | Acupuncturist | 1828 Felton St, San Diego, CA 92102-1230 | 2020-10-28 |
| 1497360820 | Yoon Jin Lee | Acupuncturist | 8720 Donaker St, San Diego, CA 92129-4205 | 2020-09-11 |
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1871117085 | Leeann Renee Little | Acupuncturist | 1621 Elder Ave, San Diego, CA 92154-1942 | 2020-06-03 |
| 1427687466 | Kelsi Sando | Acupuncturist | 7777 Westside Dr Apt 341, San Diego, CA 92108-1235 | 2020-04-02 |
| 1093346918 | Amy Carson | Acupuncturist | 1050 Wilbur Ave, San Diego, CA 92109-2028 | 2020-01-29 |
| 1366072126 | Wanhee Seo | Acupuncturist | 6482 Ambrosia Dr Apt 5201, San Diego, CA 92124-3143 | 2020-01-21 |
| 1881234672 | Hilda A Gonzalez | Acupuncturist | 2555 State St Unit 101, San Diego, CA 92101-1315 | 2020-01-09 |
| 1043859382 | Jennifer Suelan Mason | Acupuncturist | 3293 Mckinley St, San Diego, CA 92104-4716 | 2020-01-03 |
| 1669019485 | Sharron Szablak | Acupuncturist | 2105 Madreselva Way, San Diego, CA 92154-4154 | 2019-12-01 |
| 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.