RICHARD L.KORNBERG, M.D.A PROFESSIONAL CORPORATION (NPI# 1932471125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932471125 |
| Entity Type | Organization |
| Organization Name | RICHARD L.KORNBERG, M.D.A PROFESSIONAL CORPORATION |
| Practice Address |
110 W Pennsylvania Ave San Diego CA 92103-4016 |
| Practice Telephone | 6192987546 |
| Practice Fax Number | 6196921397 |
| Mailing Telephone | 6192987546 |
| Mailing Fax Number | 6196921397 |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2012-02-02 |
| Authorized Official Name | MRS. EDITH L KORNBERG (SECRETARY/TREASURER) |
| Authorized Official Telephone | 8584598874 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | G13900 | CA | Managed Care Organizations |
| Street Address |
110 W PENNSYLVANIA AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-4016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235263310 | Elizabeth H Butler | Social Worker | 110 W Pennsylvania Ave, San Diego, CA 92103-4016 | 2007-03-14 |
| 1902057789 | Laura Weiss | Psychologist | 110 W Pennsylvania Ave, San Diego, CA 92103-4016 | 2008-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538512744 | Azila Katherine Sabile Ortiz | Exclusive Provider Organization | 15260 Amalia St, San Diego, CA 92129-1228 | 2016-07-22 |
| 1992044036 | Reza Kasiri | Exclusive Provider Organization | 6755 Mira Mesa Blvd Ste 218, San Diego, CA 92121-4311 | 2013-02-09 |
| 1023103595 | County of San Diego | Exclusive Provider Organization | 1110 Carolina Lane, San Diego, CA 92102 | 2006-10-03 |
| 1356434112 | County of San Diego | Exclusive Provider Organization | 6991 Balboa Avenue, San Diego, CA 92111 | 2006-10-02 |
| 1023632023 | Sandra Clare Hudson | Exclusive Provider Organization | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2020-06-04 |
| 1609328368 | Robert M. Howard Optometrist Inc | Exclusive Provider Organization | 8022 Clairemont Mesa Blvd, San Diego, CA 92111-1615 | 2016-10-28 |
| 1598112708 | Ngk Corporation Dba Assisting Hands of San Diego | Exclusive Provider Organization | 16870 W Bernardo Dr Ste 400, San Diego, CA 92127-1678 | 2016-05-17 |
| 1821469347 | Kara Dodds and Associates | Exclusive Provider Organization | 7840 Mission Center Ct Ste 200, San Diego, CA 92108-1320 | 2015-10-09 |
| 1942620463 | Gastroenterology and Hepatology Medical Associates | Exclusive Provider Organization | 4060 Fourth Ave, Suite 240, San Diego, CA 92103-2116 | 2014-04-23 |
| 1952646697 | Fashion Valley Clinic | Exclusive Provider Organization | 7020 Friars Rd, San Diego, CA 92108-1126 | 2012-12-06 |
| 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.