SAMUEL A AMUKELE (NPI# 1871570341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871570341 |
| Entity Type | Individual |
| Full Name | SAMUEL A AMUKELE |
| Credential | MD |
| Practice Address |
4650 Palm Ave Urology Department San Diego CA 92154-8404 |
| Practice Telephone | 6196625458 |
| Practice Fax Number | 6196625470 |
| Mailing Telephone | 6196625458 |
| Mailing Fax Number | 6196625470 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2007-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | A97898 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02662779 | 05 |
| Street Address |
4650 PALM AVE UROLOGY DEPARTMENT |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043746068 | Robert David Fisher | Urology | 2930 Barnard St Unit 9203, San Diego, CA 92110-5765 | 2017-05-11 |
| 1437505559 | Devin Nitin Patel | Urology | 200 W Arbor Dr # Mc7897, San Diego, CA 92103-1911 | 2016-05-07 |
| 1861747396 | Marc Holden | Urology | 4060 4th Ave Ste 310, San Diego, CA 92103-2120 | 2012-07-20 |
| 1689837908 | Frederick Michael Busch | Urology | 2926 Kellogg St, # B-19, San Diego, CA 92106-3555 | 2008-07-07 |
| 1023130630 | Youngkyu Peter Sheen | Urology | 5138 Sea Mist Court, San Diego, CA 92121-4227 | 2007-04-04 |
| 1174609127 | Manoj Monga | Urology | Regents of The University of Ca - Ucsd Medical Group, 200 W. Arbor Drive, San Diego, CA 92103-9000 | 2006-10-31 |
| 1801996939 | Male Fertility & Sexual Medicine Specialists | Urology | 6699 Alvarado Rd Ste 2207, San Diego, CA 92120-5240 | 2006-09-25 |
| 1700994357 | Robert Harrison Masters | Urology | 3405 Kenyon St Ste 504, San Diego, CA 92110-5008 | 2006-08-25 |
| 1952330052 | Joel Larralde | Urology | 3914 Murphy Canyon Rd, Suite# A206, San Diego, CA 92123-4491 | 2006-07-01 |
| 1740223619 | Kyoko Sakamoto | Urology | 3350 La Jolla Village Drive, Mail Code 9112f, San Diego, CA 92161-0002 | 2006-06-14 |
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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.