DR. MONA M. EZZAT (NPI# 1902844939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902844939 |
| Entity Type | Individual |
| Full Name | DR. MONA M. EZZAT |
| Credential | M.D. |
| Practice Address |
9850 Genesee Ave Ste 320 La Jolla CA 92037-1208 |
| Practice Telephone | 8585541212 |
| Mailing Telephone | 8585541212 |
| Mailing Fax Number | 8582473042 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2019-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A76556 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A765560 | 05 |
| Street Address |
9850 GENESEE AVE STE 320 |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568938413 | Benjamin Phillip Vasquez | Physical Therapist | 9850 Genesee Ave Ste 320, La Jolla, CA 92037-1208 | 2018-10-18 |
| 1174006936 | Angelique Marie Colon | Nurse Practitioner | 9850 Genesee Ave Ste 320, La Jolla, CA 92037-1208 | 2018-09-07 |
| 1770065252 | Kelly Anne Snowden | Physician Assistant | 9850 Genesee Ave Ste 320, La Jolla, CA 92037-1208 | 2018-08-31 |
| 1518455179 | Sarah Lynn Pierce | Nurse Practitioner | 9850 Genesee Ave Ste 320, La Jolla, CA 92037-1208 | 2018-04-28 |
| 1750897500 | Christyanne Lois Maxson | Family Medicine | 9850 Genesee Ave Ste 320, La Jolla, CA 92037-1208 | 2017-12-15 |
| 1356853386 | Jaron West | Physician Assistant | 9850 Genesee Ave Ste 320, La Jolla, CA 92037-1208 | 2017-10-31 |
| 1396255477 | Kelsey Renee Brangoccio | Physician Assistant | 9850 Genesee Ave Ste 320, La Jolla, CA 92037 | 2017-10-03 |
| 1538534805 | Julie Anne Hoffman | Physician Assistant | 9850 Genesee Ave Ste 320, La Jolla, CA 92037-1208 | 2015-12-11 |
| 1104209048 | Nicholas Canelo | Family Medicine | 9850 Genesee Ave Ste 320, La Jolla, CA 92037 | 2015-07-08 |
| 1841611324 | Natalia Kovaleski | Physician Assistant | 9850 Genesee Ave Ste 320, La Jolla, CA 92037-1208 | 2013-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962918912 | Monica Perlman Md, Inc | Family Medicine | 7855 Ivanhoe Ave Ste 110, La Jolla, CA 92037-4507 | 2017-12-28 |
| 1174959712 | Jahangir Aryanpour Kashani | Family Medicine | 5660 Calle Miramar, La Jolla, CA 92037-7127 | 2013-09-14 |
| 1639496516 | Eric Jacques Goodrich | Family Medicine | 5433 Beaumont Ave, La Jolla, CA 92037-7623 | 2010-04-30 |
| 1427375641 | Thomas Ward Cummings | Family Medicine | 5845 Beaumont Ave, La Jolla, CA 92037-7309 | 2010-04-27 |
| 1679750152 | James Drew Veltmeyer | Family Medicine | 8335 Prestwick Dr, La Jolla, CA 92037-2021 | 2008-01-27 |
| 1851438329 | Gary N Bogart | Family Medicine | 9350 Campus Point Drive Llb, Mail Code - 0968, La Jolla, CA 92037-0968 | 2007-01-31 |
| 1356439939 | Jane Reldan | Family Medicine | 467 Coast Boulevard, La Jolla, CA 92037 | 2006-10-10 |
| 1639131832 | Robert Lloyd Weston | Family Medicine | 210 Coast Blvd, La Jolla, CA 92037-4609 | 2006-04-04 |
| 1881655462 | Nasrin Arbabi | Family Medicine | 5688 Desert View Dr, La Jolla, CA 92037-7238 | 2006-03-31 |
| 1790754893 | Janet Ruth Schwartz | Family Medicine | 9850 Genesee Ave Ste 740, La Jolla, CA 92037-1218 | 2006-03-14 |
| Find all providers in LA JOLLA | ||||
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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.