DR. THERESA GAGOS (NPI# 1013305325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013305325 |
| Entity Type | Individual |
| Full Name | DR. THERESA GAGOS |
| Credential | PH.D. |
| Practice Address |
11777 Bernardo Plaza Ct Ste 108 San Diego CA 92128-2405 |
| Practice Telephone | 8587227847 |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2015-01-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 26887 | CA | Behavioral Health & Social Service Providers |
| Street Address |
11777 BERNARDO PLAZA CT STE 108 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92128-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326021643 | Robert Bruce Folk Jr. | Dentist | 11777 Bernardo Plaza Ct, Suite 209, San Diego, CA 92128-2405 | 2005-11-21 |
| 1891002317 | Thomas Banning Scarfe Jr. | Dentist | 11777 Bernardo Plaza Ct, Suite 101, San Diego, CA 92128-2405 | 2010-09-03 |
| 1679694319 | William S. Bate, D.m.d.,a.p.c. | Clinic/Center | 11777 Bernardo Plaza Ct, Suite # 207, San Diego, CA 92128-2405 | 2007-04-02 |
| 1740309798 | William Santford Bate | Dentist | 11777 Bernardo Plaza Ct, Suite #207, San Diego, CA 92128-2405 | 2007-03-29 |
| 1720102601 | Barry Todd Zimmer | Acupuncturist | 11777 Bernardo Plaza Ct, Suite 107, San Diego, CA 92128-2405 | 2007-03-18 |
| 1235266842 | John Daniel Brian Jr. | Dentist | 11777 Bernardo Plaza Ct, Suite 209, San Diego, CA 92128-2405 | 2007-02-28 |
| 1952454514 | Melissa Faith Osgood | Social Worker | 11777 Bernardo Plaza Ct, Suite 210, San Diego, CA 92128-2405 | 2007-01-18 |
| 1518025923 | Mandometer Inc. | Clinic/Center | 11777 Bernardo Plaza Ct, Suite 208, San Diego, CA 92128-2405 | 2006-12-05 |
| 1154407963 | Jeffrey Alan Bloch | Dentist | 11777 Bernardo Plaza Ct, Suite 101, San Diego, CA 92128-2405 | 2006-10-27 |
| 1922109552 | James Douglas Dickinson | Dentist | 11777 Bernardo Plaza Ct, Suite 102, San Diego, CA 92128-2405 | 2006-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
| 1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
| 1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
| 1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
| 1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
| 1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
| 1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
| Find all providers in zip 92128 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1396353520 | Chandra Estelle Khalifian | Psychologist | 4975 Foothill Blvd, San Diego, CA 92109-2236 | 2020-07-14 |
| 1225661838 | Sharon Saeedi Psy D Psychologist Inc | Psychologist | 185 W F St Ste 100l, San Diego, CA 92101-6029 | 2020-02-21 |
| 1609414242 | Laura Beth Fitzpatrick | Psychologist | 3322 29th St, San Diego, CA 92104-4533 | 2019-12-13 |
| 1790329613 | Growgood Psychology, Corp | Psychologist | 3405 Kenyon St # 513-06, San Diego, CA 92110-5003 | 2019-11-04 |
| 1891355996 | Stephanie Ann Massey | Psychologist | 12625 High Bluff Dr Ste 206, San Diego, CA 92130-2053 | 2019-06-19 |
| 1225697543 | Dr. Emily N. Kierce, Psychologist, A Professional Corporation | Psychologist | 402 W Broadway Ste 1925, San Diego, CA 92101-8505 | 2019-06-10 |
| 1023674884 | Desiree Arlene Cuevas | Psychologist | 2525 Camino Del Rio S Ste 305, San Diego, CA 92108-3784 | 2019-05-16 |
| 1396212023 | Paul William Randolph | Psychologist | 727 Robinson Ave Apt D, San Diego, CA 92103-4364 | 2018-10-31 |
| 1952876526 | Amanda Cooney | Psychologist | 2515 Old Quarry Rd Apt 1314, San Diego, CA 92108-2759 | 2018-10-09 |
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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.