BONNIE SUSAN OMEARA (NPI# 1013103639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013103639 |
Entity Type | Individual |
Full Name | BONNIE SUSAN OMEARA |
Credential | NP |
Practice Address |
9500 Gilman Dr La Jolla CA 92093-5004 |
Mailing Address |
10776 Sunset Ridge Dr San Diego CA 92131-2380 |
Practice Telephone | 8585343300 |
Mailing Telephone | 8585787189 |
Enumeration Date | 2007-09-18 |
Last Update Date | 2007-09-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
292148 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
9500 GILMAN DR |
City | LA JOLLA |
State | CA |
Zip Code | 92093-5004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619956380 | Marie Louise Dell'aquila | Medical Genetics | 9500 Gilman Dr, Ucsd Division of Medical Genetics-0639, La Jolla, CA 92093-0639 | 2006-01-11 |
1932711421 | Tyler Hatchel | Counselor | 9500 Gilman Dr, La Jolla, CA 92093-5004 | 2020-08-18 |
1922619766 | Edward Jeffrey Hodgkin | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr, La Jolla, CA 92093-5004 | 2020-08-14 |
1992334007 | Jason Patrick Caffrey | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr, La Jolla, CA 92093-5004 | 2020-04-02 |
1609403732 | Mickey Ellis Abraham | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr, La Jolla, CA 92093-5004 | 2020-03-26 |
1184251340 | Sejal Patel | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr, La Jolla, CA 92093-5004 | 2020-03-26 |
1568099125 | Mitchell Jia Zhao | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr, La Jolla, CA 92093-5004 | 2020-03-24 |
1740814425 | Margaret Frances Meagher | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr, La Jolla, CA 92093-5004 | 2020-03-03 |
1487288254 | Oliver Marigold | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr, La Jolla, CA 92093-5004 | 2020-03-02 |
1760016000 | Ryan Ouillette | Clinic/Center | 9500 Gilman Dr, La Jolla, CA 92093-5004 | 2020-02-25 |
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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 | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750782942 | Ricardo Mera | Nurse Practitioner | 8837 Villa La Jolla Dr Unit 13484, La Jolla, CA 92039-7061 | 2014-09-08 |
1457697567 | Ara Pappendick Miralles | Nurse Practitioner | 9500 Gilman Dr # Mc0956, Ucsd Medical Center, La Jolla, CA 92093-5004 | 2012-12-17 |
1730468943 | Holly Bowron Hainley | Nurse Practitioner | Univ of Ca San Diego Neuroscience Department, 9500 Gilman Drive Mc- 0949, La Jolla, CA 92093-0001 | 2011-08-05 |
1962663658 | Diane Kay Koester | Nurse Practitioner | 9834 Genesee Ave Ste 300, La Jolla, CA 92037-1215 | 2008-06-24 |
1396815775 | Andrew Fernandez | Nurse Practitioner | 10666 N. Torrey Pines Rd., Scripps Torrey Pines/green Hospital, La Jolla, CA 92037 | 2006-11-09 |
1205333010 | Chelsea Marie Rouleau | Nurse Practitioner | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2018-04-09 |
1659821080 | Michelle Duong | Nurse Practitioner | 3855 Health Sciences Dr, Mail Code: 0960, La Jolla, CA 92093-1503 | 2016-10-10 |
1194279901 | Ellen Ashman | Nurse Practitioner | 9850 Genesee Ave, La Jolla, CA 92037-1224 | 2016-08-09 |
1922551324 | Jessica Kelley | Nurse Practitioner | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2016-08-02 |
1861736712 | Ma.cristina Calma | Nurse Practitioner | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2012-11-15 |
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.