KELLY LARSON


Address: 7907 Ostrow St, San Diego, CA 92111-3635
Phone: 8583008282

KELLY LARSON (NPI# 1891101606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891101606
Entity Type Individual
Full Name KELLY LARSON
Practice Address 7907 Ostrow St
San Diego
CA 92111-3635
Practice Telephone 8583008282
Mailing Telephone 8583008282
Enumeration Date 2014-07-01
Last Update Date 2014-07-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers KELLY LARSON

NPI Name Taxonomy Address Enumeration
1386055168 Kelly Larson Case Manager/Care Coordinator 6809 Bebe Ct., Louisville, KY 40219 2014-05-14
1124442595 Kelly Larson Massage Therapist 11 Spokane St Ste 202, Wenatchee, WA 98801-6132 2014-02-06
1619274362 Kelly A Larson Massage Therapist 225 Maxwell Ave, Port Townsend, WA 98368-9488 2011-02-15
1346310414 Kelly James Larson Dentist 8086 E Florentine Rd, Prescott Valley, AZ 86314-9422 2006-11-08
1023191442 Kelly Suzanne Larson Family Medicine 700 Lily Rd Se, Olympia, WA 98503 2006-10-21
1184282212 Kelly Larson Assistant Behavior Analyst 3504 Commercial Ave, Northbrook, IL 60062-1821 2019-06-04
1144691551 Kelly Elizabeth Larson Behavioral Analyst 1025 E 54th St, Indianapolis, IN 46220-3219 2015-10-12
1528190998 Kelly Larson Physical Therapy Assistant 1301 15th Ave W, Williston, ND 58801-3821 2007-03-12
1760512438 Kelly Marie Larson Physical Therapist 10300 W 103rd St, Suite 300, Overland Park, KS 66214-2642 2007-03-06
1548301161 Kelly Larson Speech-Language Pathologist 701 W 6th St, Grafton, ND 58237-1379 2007-02-08

Office Location

Street Address 7907 OSTROW ST
City SAN DIEGO
State CA
Zip Code 92111-3635

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043329683 Kristin Parsley Specialist 7907 Ostrow St, Ste D, San Diego, CA 92111-3635 2006-08-29
1861002040 Austin Ice Student in an Organized Health Care Education/Training Program 7907 Ostrow St, San Diego, CA 92111-3635 2020-08-03
1619586245 Ruby Lara Counselor 7907 Ostrow St, San Diego, CA 92111-3635 2020-07-29
1639657356 Jose Crisstian Valadez Case Manager/Care Coordinator 7907 Ostrow St, San Diego, CA 92111-3635 2018-08-03
1023510773 Marc Nathan Sherman Student in an Organized Health Care Education/Training Program 7907 Ostrow St, San Diego, CA 92111-3635 2018-03-07
1073038402 Monica Siojo Licensed Vocational Nurse 7907 Ostrow St, Suite F, San Diego, CA 92111 2017-08-07
1255872008 Heriberto Fuentes Cervantes Case Manager/Care Coordinator 7907 Ostrow St, #f, San Diego, CA 92111-3635 2017-03-13
1538608286 Keri Sebourn Marriage & Family Therapist 7907 Ostrow St, Ste F, San Diego, CA 92111 2017-02-14
1508311002 Mayte O'neal Licensed Vocational Nurse 7907 Ostrow St, Suite F, San Diego, CA 92111-3635 2016-08-24
1851743769 Jonathan Mindas Counselor 7907 Ostrow St, Suite F, San Diego, CA 92111-3635 2016-07-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982220653 Karen Elizabeth Mitchell Registered Nurse County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 2020-06-18
1912523804 Access Medical, Inc. Durable Medical Equipment & Medical Supplies 4150 Convoy Street, Suite A, San Diego, CA 92111 2020-06-17
1154944551 Mei Ling Milan Szeto Student in an Organized Health Care Education/Training Program 7917 Ostrow Street, Suite A, San Diego, CA 92111 2020-05-20
1346893831 Leticia Isabel Peralta Assistant Behavior Analyst 563 Balboa Avenue. Number 521, San Diego, CA 92111 2019-07-23
1295204394 Demetria Serfas Behavioral Analyst 563 Balboa Ave #521, San Diego, CA 92111 2018-11-19
1568981678 Ross Psychology Psychologist 4883 Ronson Court, Suite K, San Diego, CA 92111 2017-09-11
1225554587 Bianca Acosta Technician, Other 563 Balboa Ave. #521, San Diego, CA 92111 2017-08-18
1194240085 Kazuhiro Kato Dentist 3707 Convoy St., San Diego, CA 92111 2017-08-11
1073038527 Joanne Epps-yentz Licensed Vocational Nurse 7414 Mesa College Dr. Apt 47, San Diego, CA 92111 2017-08-06
1184158446 Positive Behavior Supports Corp Community/Behavioral Health 563 Balboa Ave, 521, San Diego, CA 92111 2017-04-13
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033716204 Julianne A. Demery Student in an Organized Health Care Education/Training Program Naval Base San Diego 2450 Craven Street #3300, San Diego, CA 92136-0001 2020-10-01
1649885732 Leanne Evalyn Morancie Student in an Organized Health Care Education/Training Program 4231 Balboa Ave # 1245, San Diego, CA 92117-5504 2020-09-15
1689288136 Melissa Eileen Fitzgibbon Student in an Organized Health Care Education/Training Program 5114 63rd St, San Diego, CA 92115-1407 2020-09-02
1316550510 Jessica Elizabeth Knight Student in an Organized Health Care Education/Training Program 6383 Alvarado Ct, 310, San Diego, CA 92120 2020-08-26
1770195091 Julia Roccanova Student in an Organized Health Care Education/Training Program 6383 Alvarado Court, Suite 310, San Diego, CA 92120 2020-08-18
1861004392 Mareena Biju Student in an Organized Health Care Education/Training Program 10995 Evening Creek Dr E, San Diego, CA 92128-4009 2020-08-17
1184235202 Taylor G Wasko Student in an Organized Health Care Education/Training Program 4114 Swift Ave Apt 4, San Diego, CA 92104-2249 2020-08-12
1790394245 Elisa Melo Da Silva Smerik Student in an Organized Health Care Education/Training Program 3235 Loma Riviera Dr, San Diego, CA 92110-5511 2020-07-29
1215554076 Ana Mohammad-zadeh Student in an Organized Health Care Education/Training Program 17289 Russet St, San Diego, CA 92127-2135 2020-06-28
1265056048 Tilbe Yildirim Student in an Organized Health Care Education/Training Program 1963 Fourth Ave., San Diego, CA 92101 2020-06-08
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92111

Improve Information

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Dataset Information

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.

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