ALLISON DIANE BRYDEN (NPI# 1902416332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902416332 |
| Entity Type | Individual |
| Full Name | ALLISON DIANE BRYDEN |
| Practice Address |
4305 University Ave Ste 150 San Diego CA 92105-1690 |
| Mailing Address |
3977 1/2 Florida St San Diego CA 92104-2702 |
| Practice Telephone | 6192802058 |
| Mailing Telephone | 5304172538 |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2020-07-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
95015040 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
95015040 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BRN NP LICENSE NUMBER | 95015040 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3977 1/2 Florida St, San Diego, CA 921042702 | 5304172538 |
| Street Address |
4305 UNIVERSITY AVE STE 150 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92105-1690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184759326 | Kai Liu | Dentist | 4305 University Ave Ste 150, San Diego, CA 92105-1690 | 2007-02-21 |
| 1699261883 | Karim Arcand | Student in an Organized Health Care Education/Training Program | 4305 University Ave Ste 150, San Diego, CA 92105-1690 | 2018-07-10 |
| 1730570144 | Crystal Thanh Doan Stephens | Pediatrics | 4305 University Ave Ste 150, San Diego, CA 92105-1690 | 2015-02-07 |
| 1407115611 | Claudia J. Guzman | Registered Nurse | 4305 University Ave Ste 150, San Diego, CA 92105-1690 | 2012-05-08 |
| 1851599872 | Yolanda Yu-chiu Wong | Pediatrics | 4305 University Ave Ste 150, San Diego, CA 92105 | 2007-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851934798 | Point Loma Nazarene University | Nurse Practitioner | Point Loma Nazarene University Health Promotion Center, 4101 University Avenue, San Diego, CA 92105 | 2019-10-23 |
| 1104478809 | Kristin Lynn Nichols | Counselor | 4823 El Cajon Blvd Suite #115, San Diego, CA 92105 | 2019-07-12 |
| 1205343076 | Momentum Learning | Counselor | 3720 El Cajon Blvd., Sd, CA 92105 | 2018-01-03 |
| 1306352695 | Nathan Hien Le, Dds. Inc | Dentist | 4170 Fairmount Ave., San Diego, CA 92105 | 2017-12-21 |
| 1073038071 | Aika Mary Erlandson | Student in an Organized Health Care Education/Training Program | 5296 University Ave. Suite F-2, San Diego, CA 92105 | 2017-08-10 |
| 1457872178 | Ride-in Transport LLC | Non-emergency Medical Transport (VAN) | 4061 Fairmount Ave, San Diego, CA 92105 | 2017-07-03 |
| 1598205346 | Ahmed Mooge | Ambulance | 4061 Fairmout Ave, San Diego, CA 92105 | 2017-02-27 |
| 1083152748 | Rady Childrens Hospital-san Diego | Psychiatric Unit | 4305 University Avenue, Suite 150, San Diego, CA 92105 | 2017-02-02 |
| 1730634098 | Med Specialty Sai Inc. | Pharmacy | 4153 University Avenue, Suite B, San Diego, CA 92105 | 2016-08-16 |
| 1568857464 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 4074 Fairmount Avenue, Suite B, San Diego, CA 92105 | 2015-03-30 |
| Find all providers in zip 92105 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083116321 | Alina Shumakova | Nurse Practitioner | 7910 Frost St Ste 120, San Diego, CA 92123-2776 | 2018-03-02 |
| 1548545494 | Kyla Jan Gonzalez | Nurse Practitioner | 3020 Childrens Way # Mc5115, San Diego, CA 92123-4223 | 2011-10-11 |
| 1558699769 | Jeanne Marguerite Niner | Nurse Practitioner | 4873 Sea Lavender Way, San Diego, CA 92154-8559 | 2009-11-28 |
| 1730336827 | Zohar Mcmurtry | Nurse Practitioner | 200 W Arbor Dr Dept 8452, San Diego, CA 92103-8452 | 2008-08-20 |
| 1194905489 | Tawnya Lee Macchiarella | Nurse Practitioner | 3860 Calle Fortunada Ste 210, San Diego, CA 92123-4802 | 2007-11-05 |
| 1053519850 | Rebecca Lee Sox | Nurse Practitioner | 7910 Frost St Ste 360, San Diego, CA 92123 | 2007-07-03 |
| 1043422884 | Donna J King | Nurse Practitioner | 3071 W. Fox Run Way, San Diego, CA 92111 | 2007-05-04 |
| 1942331079 | Sandra Marie Hinesly | Nurse Practitioner | 8995 Allenbrook Way, San Diego, CA 92129-2162 | 2007-03-08 |
| 1992882906 | Mary Alice Melwak | Nurse Practitioner | 3665 Kearny Villa Rd Ste 400, San Diego, CA 92123-1955 | 2006-11-01 |
| 1790861185 | Franziska Elisabeth Spiegelberg | Nurse Practitioner | 4602 Finsen Ave, San Diego, CA 92122-2708 | 2006-10-27 |
| 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.