MR. ERIK KOLBERG (NPI# 1912404609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912404609 |
Entity Type | Individual |
Full Name | MR. ERIK KOLBERG |
Credential | BCO |
Practice Address |
9663 Tierra Grande St Ste 201 San Diego CA 92126-4570 |
Practice Telephone | 8586952021 |
Practice Fax Number | 8586952712 |
Mailing Telephone | 8586952021 |
Mailing Fax Number | 8586952712 |
Enumeration Date | 2018-04-09 |
Last Update Date | 2018-04-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1700X |
Technician/Technologist Specialization: Ocularist |
Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 1164466488 | 05 |
Street Address |
9663 TIERRA GRANDE ST STE 201 |
City | SAN DIEGO |
State | CA |
Zip Code | 92126-4570 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730741299 | Eye Connection Optometry, Inc | Optometrist | 9516 Miramar Road, San Diego, CA 92126 | 2019-07-05 |
1811450935 | Anne Phabmixay | Student in an Organized Health Care Education/Training Program | Douglas Young Wellness Center, 10717 Camino Ruiz Suite 207, San Diego, CA 92126 | 2019-04-08 |
1679035588 | Emily Nguyen | Registered Nurse | 8210 Elston Place, San Diego, CA 92126 | 2019-04-01 |
1558832139 | Dana Douglas-hiley | Speech-Language Pathologist | 9606 Tierra Grande St., Suite 107, San Diego, CA 92126 | 2018-12-08 |
1275022873 | Breeann Nicole Poulson | Speech-Language Pathologist | 9466 Black Mountain Rd Suite 100, San Diego, CA 92126 | 2018-05-09 |
1659878882 | My Phuong Thi Phan | Registered Nurse | 10938 Hyades Way, San Diego, CA 92126 | 2018-04-13 |
1083132153 | Ruth Tamar Morales | Occupational Therapist | Children's Ot Services, Inc, 9606 Tierra Grande St., #104, San Diego, CA 92126 | 2017-09-08 |
1487184339 | Chelsea Irene Johnson | Marriage & Family Therapist | 8670 New Salem St. Unit 106, San Diego, CA 92126 | 2017-06-14 |
1336508506 | Brenda L. Bebal | Nurse Practitioner | 10737 Camino Ruiz; Ste 235, Operation Samahan Health Clinic, San Diego, CA 92126 | 2016-02-17 |
1700245099 | Naval Medical Center San Diego | Pharmacy | Mcas Miramar Exchange Pharmacy, Bldg 2660, San Diego, CA 92126 | 2016-02-16 |
Find all providers in zip 92126 |
Taxonomy Code | 156FX1700X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Ocularist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144304544 | Daniel T. Acosta | Technician/Technologist | 635 C St, Apt. 502, San Diego, CA 92101-5381 | 2006-10-24 |
1538437835 | California Eye Prosthetics, Inc | Technician/Technologist | 635 C St, Suite 502, San Diego, CA 92101-5318 | 2011-12-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881158210 | Integrated Ocular Prosthetics | Technician/Technologist | 11419 N Fowler Ave, Clovis, CA 93619-9544 | 2019-01-30 |
1144795105 | Integrated Ocular Prosthetics Inc | Technician/Technologist | 1324 W. Center Ave, Visalia, CA 93291-5804 | 2018-10-05 |
1588139547 | Integrated Ocular Prosthetics Inc | Technician/Technologist | 5340 Elvas Ave Ste 700, Sacramento, CA 95819-2380 | 2018-10-05 |
1841321478 | John A Kennedy | Technician/Technologist | 150 El Camino Real, Suite 101, Tustin, CA 92780-3668 | 2007-03-07 |
1154498723 | Steven R Young | Technician/Technologist | 411 30th Street, Ste 512, Oakland, CA 94609-3303 | 2006-11-29 |
1962977926 | Integrated Ocular Prosthetics Inc | Technician/Technologist | 700 Cass St Ste 126, Monterey, CA 93940-2921 | 2018-10-05 |
1609356898 | Dylan Bond | Technician/Technologist | 1736 Professional Dr, Sacramento, CA 95825-2105 | 2018-08-16 |
1023500485 | Antonio Louis Alcorta I | Technician/Technologist | 1324 W Center Ave, Visalia, CA 93291 | 2018-06-01 |
1609367242 | Ricardo Angeles | Technician/Technologist | 435 N Bedford Dr Ste 411, Beverly Hills, CA 90210-4340 | 2018-05-18 |
1811262413 | Antonio Alcorta | Technician/Technologist | 2155 W March Ln, Suite 3f, Stockton, CA 95207-6420 | 2012-03-14 |
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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.