MONICA CORY FEDEROFF (NPI# 1912404492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912404492 |
| Entity Type | Individual |
| Full Name | MONICA CORY FEDEROFF |
| Credential | PHD, MD CANDIDATE |
| Practice Address |
Department of Psychiatry Ucsd 9500 Gilman Drive La Jolla CA 92093-4131 |
| Mailing Address |
9500 Gilman Dr # 851 La Jolla CA 92093-5004 |
| Practice Telephone | 6195436445 |
| Mailing Telephone | 6195430259 |
| Mailing Fax Number | 6195437013 |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Coltrane Ct, Irvine, CA 926174131 | 5853298393 |
| Street Address |
DEPARTMENT OF PSYCHIATRY UCSD 9500 GILMAN DRIVE |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92093-4131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902442908 | Forrest N Ridgway | Pharmacist | 3855 Health Sciences Drive #0845, La Jolla, CA 92093 | 2019-11-25 |
| 1578060067 | Michelle Sloan | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr #0851, La Jolla, CA 92093 | 2018-04-10 |
| 1114372471 | Kevin Ting | Internal Medicine | 9500 Gilman Dr # Mc7411, La Jolla, CA 92093 | 2016-04-24 |
| 1225490147 | Karen Tye | Student in an Organized Health Care Education/Training Program | 3960 Health Sciences Drive, La Jolla, CA 92093 | 2016-03-22 |
| 1457716615 | Christine Pulido | Student in an Organized Health Care Education/Training Program | 9500 Gilman Drive #0851, La Jolla, CA 92093 | 2015-12-15 |
| 1467830489 | Justin Arshed Shaya | Internal Medicine | 3855 Health Sciences Dr #0829, La Jolla, CA 92093 | 2015-05-11 |
| 1225425606 | Brad Hiroshi Kimura | Internal Medicine | 9500 Gilman Dr # Mc9111g, La Jolla, CA 92093 | 2015-04-23 |
| 1407241169 | Courtney Holmes Mckee | Emergency Medicine | 3855 Health Sciences Drive Mc0987, La Jolla, CA 92093 | 2015-03-31 |
| 1528488350 | Arlene Bravo | General Practice | 9500 Gilman Dr # Mc0656, La Jolla, CA 92093 | 2014-04-19 |
| 1710237391 | Chaitanya Pabbati | Psychiatry & Neurology | 9500 Gillman Drive #9116a, La Jolla, CA 92093 | 2012-09-11 |
| Find all providers in zip 92093 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891343539 | Nicki Mashayekan | Student in an Organized Health Care Education/Training Program | 2745 Costebelle Dr, La Jolla, CA 92037-3518 | 2019-08-27 |
| 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 |
| 1003471939 | Hana Marie Russo | Student in an Organized Health Care Education/Training Program | Uc San Diego School of Medicine 9500 Gilman Drive, La Jolla, CA 92093-0001 | 2019-05-06 |
| 1770146813 | Estefania Fernandez | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Dr, Mc 7433, La Jolla, CA 92037-7433 | 2019-04-15 |
| 1538629258 | Lauren Elizabeth Stone | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Dr # 7893, La Jolla, CA 92037-1300 | 2019-03-20 |
| 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 |
| 1164900866 | Sherin Hashem | Student in an Organized Health Care Education/Training Program | 9444 Medical Center Drive Pathology Department, La Jolla, CA 92093-0001 | 2018-08-03 |
| 1598252355 | Morrison Mansour Steel | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr # 851, La Jolla, CA 92093-0851 | 2018-04-17 |
| 1578060067 | Michelle Sloan | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr #0851, La Jolla, CA 92093 | 2018-04-10 |
| 1538696455 | Cameron Wales | Student in an Organized Health Care Education/Training Program | Uc San Diego Department of Pathology 9500 Dr, La Jolla, CA 92093-0001 | 2017-05-23 |
| 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.