EDEN B. MAGADIA (NPI# 1013093400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013093400 |
| Entity Type | Individual |
| Full Name | EDEN B. MAGADIA |
| Practice Address |
3851 Rosecrans St San Diego CA 92110-3115 |
| Mailing Address |
1650 Plaza Crest Ridge Rd San Diego CA 92114-7070 |
| Practice Telephone | 6196928225 |
| Practice Fax Number | 6196925634 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| Street Address |
3851 ROSECRANS ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92110-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639170053 | Stephanie Peck-wheeler | Pharmacist | 3851 Rosecrans St, Ms P-507-j, San Diego, CA 92110-3115 | 2005-08-09 |
| 1801494919 | Jacquelyn Gaynor | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-12 |
| 1780282871 | Soofia Khan | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-12 |
| 1083212336 | Gabriela Maria Miller | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-09 |
| 1770180101 | Nadia Contreras | Counselor | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-08 |
| 1841897717 | Mary Rebecca Miller | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-05 |
| 1598371684 | Reanna Beshelle Craig | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-09-23 |
| 1578170635 | Alisa Sathirabarabongse | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-09-23 |
| 1962018465 | Erik Mantsch | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-09-20 |
| 1972118248 | Vera Miller | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-09-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021713 | Ruben Daniel Gutierrez | Marriage & Family Therapist | 4141 Pacific Coast Hwy, San Diego, CA 92110 | 2019-09-10 |
| 1548724081 | Denise Ellen Thompson | Counselor | 3255 Wings Street, San Diego, CA 92110 | 2019-01-29 |
| 1801378716 | Michelle Lisa Jean Crawford | Student in an Organized Health Care Education/Training Program | 3767 Central Avenue, San Diego, CA 92110 | 2018-09-06 |
| 1427539048 | Allison Turrell | Case Manager/Care Coordinator | 4930 Naples Street, San Diego, CA 92110 | 2018-08-22 |
| 1750872768 | Matthew Langworthy | Physical Therapist | 3405 Kenyon St Ste 212, San Diego, CA 92110 | 2018-05-24 |
| 1245748342 | The One Health Boutique, LLC | Chiropractor | 5350 Riley St, San Diego, CA 92110 | 2018-01-11 |
| 1437670155 | Monique A Fernandez | Counselor | 3132 Jefferson Street, San Diego, CA 92110 | 2017-07-03 |
| 1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| 1912352576 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 3880 Rosecrans Street, San Diego, CA 92110 | 2016-05-02 |
| Find all providers in zip 92110 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184157208 | San Diego Rehab and Fitness | Day Training/Habilitation Specialist | 4184 Madison Ave, San Diego, CA 92116-4709 | 2017-04-05 |
| 1659450443 | Armi Guzman | Day Training/Habilitation Specialist | 446 26th St, San Diego, CA 92102-3026 | 2006-11-03 |
| 1942386636 | Marshall C. Smith | Day Training/Habilitation Specialist | 4660 Viewridge Ave, San Diego, CA 92123-1638 | 2006-10-27 |
| 1245311752 | Timothy Willims | Day Training/Habilitation Specialist | 446 26th St Fl 6, San Diego, CA 92102-3026 | 2006-10-18 |
| 1932321171 | Carmen Maritza Delgaldo | Day Training/Habilitation Specialist | 3853 Rosecrans Street, San Diego, CA 92110 | 2007-05-03 |
| 1275755134 | Keysha Clarke | Day Training/Habilitation Specialist | 3853 Rosecrans Street, San Diego, CA 92110 | 2007-05-02 |
| 1336369917 | Dedra A Hunter | Day Training/Habilitation Specialist | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2007-04-26 |
| 1871712851 | David Wilson | Day Training/Habilitation Specialist | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2007-04-25 |
| 1376762070 | Corazon P Menchaca | Day Training/Habilitation Specialist | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2007-04-24 |
| 1558580001 | Howard S Rubio-fleischer | Day Training/Habilitation Specialist | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2007-04-24 |
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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.