JUSTIN HAMRICK (NPI# 1912139320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912139320 |
| Entity Type | Individual |
| Full Name | JUSTIN HAMRICK |
| Credential | M.D. |
| Practice Address |
3626 Ruffin Rd San Diego CA 92123 |
| Mailing Address |
3626 Ruffin Rd San Diego CA 92123-1810 |
| Practice Telephone | 8585659666 |
| Practice Fax Number | 8585659441 |
| Mailing Telephone | 8585659666 |
| Mailing Fax Number | 8585659441 |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2018-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
A96416 | CA | Allopathic & Osteopathic Physicians |
| N | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
A96416 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 520052100 | 05 |
| Street Address |
3626 RUFFIN RD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538151543 | Paul Cattafi | Anesthesiology | 3626 Ruffin Rd, San Diego, CA 92123 | 2005-08-16 |
| 1083069629 | Dianne Bach | Anesthesiology | 3626 Ruffin Rd, San Diego, CA 92123-1810 | 2016-05-02 |
| 1689037632 | Thu Nguyen | Anesthesiology | 3626 Ruffin Rd, San Diego, CA 92123-1810 | 2016-03-29 |
| 1740642776 | Riley Andrew Garrett | Anesthesiology | 3626 Ruffin Rd, San Diego, CA 92123-1810 | 2016-03-29 |
| 1962864975 | Stephen Shumpert | Anesthesiology | 3626 Ruffin Rd, San Diego, CA 92123-1810 | 2016-03-28 |
| 1578925756 | Harrison To | Anesthesiology | 3626 Ruffin Rd, San Diego, CA 92123-1810 | 2016-03-25 |
| 1306208095 | Chirag Desai | Anesthesiology | 3626 Ruffin Rd, San Diego, CA 92123-1810 | 2016-03-22 |
| 1710344452 | Sona Doshi | Anesthesiology | 3626 Ruffin Rd, San Diego, CA 92123-1810 | 2016-01-26 |
| 1205214723 | Liora Yehushua | Anesthesiology | 3626 Ruffin Rd, San Diego, CA 92123-1810 | 2015-05-16 |
| 1396132452 | Alex Taborek | Anesthesiology | 3626 Ruffin Rd, San Diego, CA 92123-1810 | 2015-04-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205049038 | Seth Michael Asser | Pediatrics | 3020 Childrens Way # Mc5064, San Diego, CA 92123-4223 | 2007-05-08 |
| 1952726242 | Bradley M. Peterson, M.d., Inc. | Pediatrics | 3030 Childrens Way, #115, San Diego, CA 92123-4232 | 2014-02-24 |
| 1649451493 | Clinica Medica Pediatrica Inc | Pediatrics | 3802 National Ave, San Diego, CA 92113-3223 | 2007-11-20 |
| 1205866258 | Mario Eduardo Eyzaguirre | Pediatrics | 4077 5th Ave, San Diego, CA 92103-2105 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417368804 | Sara Aghamohammadi | Pediatrics | 4650 W Sunset Blvd # Ms 3, Los Angeles, CA 90027-6062 | 2014-05-19 |
| 1023367422 | Batool Alsheikh | Pediatrics | 6235 N Fresno St Ste 103, Fresno, CA 93710 | 2012-08-31 |
| 1699093880 | Richard P Lion | Pediatrics | 11234 Anderson St Rm 5763, Loma Linda, CA 92354-2804 | 2010-05-12 |
| 1558505719 | Ryan Richard Taylor | Pediatrics | Mattel Childrens Hospital At Ucla, 10833 Le Conte Ave., 12-494, Mdcc, Los Angeles, CA 90095-0001 | 2009-04-30 |
| 1871737270 | Shan Lyn Ward | Pediatrics | 3333 California St # S110, San Francisco, CA 94118-1981 | 2009-04-29 |
| 1932341641 | Anas Al Kawass | Pediatrics | 17100 Euclid Street, Picu, Fountain Valley, CA 92708 | 2009-03-26 |
| 1497996649 | Andreas Schwingshackl | Pediatrics | Rrmc 400 Westwood Blvd, Los Angeles, CA 90095-2113 | 2009-03-18 |
| 1588804801 | Carol Elizabeth Nicholson | Pediatrics | 6461 Zuma View Pl, #149, Malibu, CA 90265-4495 | 2009-02-26 |
| 1831355320 | Niveditha Vilasagar | Pediatrics | 4867 W Sunset Blvd Fl 5, Los Angeles, CA 90027-5969 | 2008-08-04 |
| 1154519072 | Eloa S. Adams | Pediatrics | 275 W Macarthu, Oakland, CA 94611-5641 | 2007-10-04 |
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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.