MICHAELA STALEY (NPI# 1912438250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912438250 |
| Entity Type | Individual |
| Full Name | MICHAELA STALEY |
| Credential | M.D. |
| Practice Address |
3177 Ocean View Blvd San Diego CA 92113-1432 |
| Mailing Address |
1825 Cypress Ave San Diego CA 92103-4643 |
| Practice Telephone | 6196624100 |
| Mailing Telephone | 2083518293 |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2020-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A157772 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 499 H St, Chula Vista, CA 919104307 | 2083518293 |
| Street Address |
3177 OCEAN VIEW BLVD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92113-1432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407855828 | Emily Christine Rall | Physician Assistant | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2005-07-18 |
| 1124680061 | Joshua Dan Herrera | Health Educator | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2019-07-01 |
| 1619458213 | Kim Long Thi Vo | Pharmacist | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2018-08-22 |
| 1033622238 | Rhiannon Cardeiro | Dental Hygienist | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2017-11-09 |
| 1063945657 | Alejandra Melissa Morales | Family Medicine | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2017-04-10 |
| 1689037111 | Amanda Karla Dappen | Family Medicine | 3177 Ocean View Blvd, San Diego, CA 92113 | 2016-04-01 |
| 1821467655 | Samantha Anne Melzer | Dentist | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2015-09-23 |
| 1255747374 | Raechel Taylor | Student in an Organized Health Care Education/Training Program | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2014-07-09 |
| 1043631492 | Joseph Paul Stephen Mayer | Social Worker | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2014-01-02 |
| 1699018259 | Erin Lee Springer | Student in an Organized Health Care Education/Training Program | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2013-04-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609305986 | Cynthia Alba | Nutritionist | 1809 National Ave., San Diego, CA 92113 | 2017-06-08 |
| 1184153983 | Jessy Milligan | Counselor | 4125 Alpha Street, San Diego, CA 92113 | 2017-06-06 |
| 1730557406 | Deborah Mary Malloy | Counselor | Jary Barreto, 2865 Logan Avenue, San Diego, CA 92113 | 2015-09-10 |
| 1104220912 | Imhotep Mustaqeem | Counselor | 3336 Steel Street, San Diego, CA 92113 | 2014-10-22 |
| 1831507300 | Olga Vasileva | Student in an Organized Health Care Education/Training Program | 2865 Logan Avenue, San Diego, CA 92113 | 2014-07-29 |
| 1477961951 | Angelica Quezada | Counselor | 32510 Newton Avenue B103, San Diego, CA 92113 | 2014-07-28 |
| 1477986750 | Anita Pena | Licensed Vocational Nurse | 604 Olivewood Ter, San Diego, CA 92113 | 2013-08-09 |
| 1134459399 | Susana Cabada | Technician, Other | 4031 Marine View Ave., San Diego, CA 92113 | 2010-01-11 |
| 1669595609 | Maria Emilia Siller | Registered Nurse | 3177a Oceanview Blvd, San Diego, AL 92113 | 2007-04-06 |
| 1710009691 | Maria Engracia Siordia | Licensed Vocational Nurse | 3177a Ocean View Blvd, San Diego, CA 92113 | 2007-04-04 |
| Find all providers in zip 92113 | ||||
| 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 |
|---|---|---|---|---|
| 1275145138 | Vishal Verma Md Inc | Family Medicine | 13280 Evening Creek Dr S Ste 225, San Diego, CA 92128-4664 | 2020-08-20 |
| 1225651508 | Charles N Le Medical Alliance, Professional Corp. | Family Medicine | 4440 Euclid Ave Ste A, San Diego, CA 92115-4522 | 2020-05-21 |
| 1457992927 | Huong T L Nguyen Md Inc | Family Medicine | 4444 El Cajon Blvd Ste 6, San Diego, CA 92115-4392 | 2019-10-04 |
| 1265082838 | Jessica Lynn Ross | Family Medicine | 1670 Kettner Blvd Apt 109, San Diego, CA 92101-2556 | 2019-09-16 |
| 1306406251 | Patrick Sweet Md PC | Family Medicine | 4460 Teralta Pl, San Diego, CA 92103-1247 | 2019-06-13 |
| 1225503048 | San Diego Health LLC | Family Medicine | 6610 Flanders Dr Ste 100, San Diego, CA 92121-3940 | 2018-10-08 |
| 1427553502 | Behrang Dehkordi Md Inc | Family Medicine | 444 W C St Ste 185, San Diego, CA 92101-3597 | 2018-03-29 |
| 1245767037 | Tam K Tran | Family Medicine | 7830 Clairemont Mesa Blvd Ste 100, San Diego, CA 92111-1632 | 2017-05-11 |
| 1912350455 | Ruben G Flores | Family Medicine | 2470 Pine Street, San Diego, CA 92103 | 2016-07-20 |
| 1396124145 | Chevon Alderson | Family Medicine | 4305 La Jolla Village Dr # 2518, San Diego, CA 92122-1270 | 2015-05-27 |
| 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.