ASHLEY JENNIFER ENNEDY (NPI# 1861908386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861908386 |
| Entity Type | Individual |
| Full Name | ASHLEY JENNIFER ENNEDY |
| Credential | DO |
| Practice Address |
10243 Genetic Center Dr San Diego CA 92121-6310 |
| Mailing Address |
16482 Bridlewood Rd Poway CA 92064-1427 |
| Practice Telephone | 8584992600 |
| Mailing Telephone | 8583351761 |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2020-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
20A17045 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
10243 GENETIC CENTER DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121-6310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346240967 | Eric R Lovell | Emergency Medicine | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2005-07-26 |
| 1811551930 | Samantha Timanus | Physical Therapist | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2019-04-24 |
| 1689169062 | Ylan Ton | Physical Therapist | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2018-06-27 |
| 1265979744 | Hossein Manavizadeh | Pharmacist | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2017-01-23 |
| 1821533985 | Jessica Llamas | Specialist/Technologist | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2016-12-28 |
| 1770946543 | Jill M. Lundstrom | Pediatrics | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2016-03-30 |
| 1447610571 | Christina N Nakashima | Pharmacist | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2016-03-02 |
| 1033578661 | Patricia Polikoff | Pharmacist | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2016-02-10 |
| 1265859524 | Angela Sung | Psychiatry & Neurology | 10243 Genetic Center Dr, San Diego, CA 92121 | 2014-03-25 |
| 1194157172 | Courtney Lynn Aivati | Speech-Language Pathologist | 10243 Genetic Center Dr, San Diego, CA 92121 | 2013-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
| 1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
| 1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
| 1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
| 1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
| 1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| Find all providers in zip 92121 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831605625 | Med Fit Consulting, Inc. | Preventive Medicine | 10425 Tierrasanta Blvd Ste 108, San Diego, CA 92124-2618 | 2017-12-16 |
| 1295249548 | Rose Donna Maria Baytop | Preventive Medicine | 2200 Pacific Hwy # Mzq-4, San Diego, CA 92101-1745 | 2017-11-24 |
| 1265665913 | Eric Drell Amster | Preventive Medicine | 6206 Ohm Ct, San Diego, CA 92122-2919 | 2009-08-28 |
| 1508079526 | Laurence Alexander Miller | Preventive Medicine | Nassco Medical Department, Harbor Drive and 28th Street, San Diego, CA 92186-5278 | 2007-05-07 |
| 1962412767 | Spencer Shirl Olsen | Preventive Medicine | 5575 Ruffin Road, Us Health Works Suite 100, San Diego, CA 92123-1361 | 2006-08-08 |
| 1316985633 | Henry K Poon | Preventive Medicine | 3930 Fourth Ave, Ste 200, Us Healthworks, San Diego, CA 92103 | 2006-06-02 |
| 1669443701 | Arturo Leon | Preventive Medicine | 5575 Ruffin Rd, San Diego, CA 92123-1380 | 2006-01-27 |
| 1780673012 | Daniel W Rhodes | Preventive Medicine | 10130 Sorrento Valley Rd, Suite A, San Diego, CA 92121-1643 | 2005-10-19 |
| 1467908392 | U.S. Healthworks Medical Group, PC | Preventive Medicine | 7590 Miramar Rd Ste C, San Diego, CA 92126-4232 | 2016-08-31 |
| 1639624299 | U.S. Healthworks Medical Group, PC | Preventive Medicine | 3930 4th Ave, Suite 200, San Diego, CA 92103-3119 | 2016-08-23 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on ASHLEY JENNIFER ENNEDY.
| 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.