MARY F. KODIATH (NPI# 1891748026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891748026 |
| Entity Type | Individual |
| Full Name | MARY F. KODIATH |
| Credential | NP |
| Practice Address |
3350 Lajolla Village Drive San Diego CA 92161-0001 |
| Mailing Address |
13645 Catawba Dr Poway CA 92064-3809 |
| Practice Telephone | 8585528585 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
366086 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3350 LAJOLLA VILLAGE DRIVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92161-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548209299 | Thomas Loring Cookson | Pharmacist | 3350 Lajolla Village Drive, San Diego, CA 92161-0001 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902315807 | Laura Crocker | Psychologist | 3350 La Jolla Village Dr Mc 151b, San Diego, CA 92161 | 2017-09-22 |
| 1568849545 | Deborah Falch | Internal Medicine | Office of Primary Care Room 3322, 3350 La Jolla Village Drive, San Diego, CA 92161 | 2015-04-29 |
| 1649566001 | Alyan Ali | Student in an Organized Health Care Education/Training Program | 350 La Jolla Village Dr, Unit 118, San Diego, CA 92161 | 2011-06-23 |
| 1992840144 | I-wei Shu | Psychiatry & Neurology | 3350 La Jolla Village Drive Mc 116a, San Diego, CA 92161 | 2007-02-21 |
| 1639252216 | R Shabetai | General Acute Care Hospital | Vahcs 3350 La Jolla Village Dr, Cardiolgy 111a, La Jolla, CA 92161 | 2006-10-24 |
| 1437233624 | Lee Michael Williams | Marriage & Family Therapist | Department of Veteran Affairs, 3350 La Jolla Village Dr, Psychology Department, San Diego, CA 92161 | 2006-10-24 |
| 1295824340 | Pamela Anne Broder | Pharmacist | San Diego Va Medical Center (119), 3350 La Jolla Village Drive, San Diego, CA 92161 | 2006-10-12 |
| 1750484259 | Michael Neil Oxman | Internal Medicine | Shingles Prevention Study (111f-1), Va Medical Center, 3350 La Jolla Village Drive, San Diego, CA 92161 | 2006-09-07 |
| 1295847358 | Patricia Ellen Fornes | Physical Therapist | Dept. Veterens Affairs San Diego Healthcare Services, 3350 La Jolla Village Dr. Dept. Pm&r Mb 117, San Diego, CA 92161 | 2006-08-31 |
| 1477667087 | Kathryn Victoria Frederick Louv | Nurse Practitioner | 3350 La Jolla Village Dr., La Jolla, CA 92161 | 2006-08-19 |
| Find all providers in zip 92161 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714007 | Julissa Leonides Caraballo | Nurse Practitioner | 4044 Promontory St, San Diego, CA 92109-5334 | 2020-03-07 |
| 1427543685 | Meredith Cronenwett | Nurse Practitioner | 8793 Lightwave Ave, San Diego, CA 92123-5000 | 2018-06-28 |
| 1891288056 | Ayodele Bolatito Akinsuyi | Nurse Practitioner | 11287 Featherhill Ln, San Diego, CA 92126-4873 | 2018-06-12 |
| 1366958092 | Sylvia Akua Searleman | Nurse Practitioner | 17927 Aguamiel Rd, San Diego, CA 92127-1039 | 2017-12-18 |
| 1346752219 | Gurpreet Sahota | Nurse Practitioner | 7270 Rondel Ct, San Diego, CA 92119-1526 | 2017-10-31 |
| 1861912495 | Tejinder Kaur Dhandi | Nurse Practitioner | 12204 Briar Knoll Way, San Diego, CA 92128-6307 | 2017-06-24 |
| 1245782689 | Ellen Ward | Nurse Practitioner | 4320 Genesee Ave Ste 104, San Diego, CA 92117-4900 | 2016-11-02 |
| 1285088369 | Jackie Irene Nembo Kom | Nurse Practitioner | 17809 Kachina Ct, San Diego, CA 92127-1368 | 2016-04-14 |
| 1568864858 | Kathryn Hughlock | Nurse Practitioner | 4020 4th Ave, San Diego, CA 92103 | 2014-09-18 |
| 1730589953 | Morgan Wolf | Nurse Practitioner | 8935 Towne Centre Dr, San Diego, CA 92122-5651 | 2014-08-25 |
| 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.