DR. MANUEL DAVID TOBIAS (NPI# 1023002136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023002136 |
Entity Type | Individual |
Full Name | DR. MANUEL DAVID TOBIAS |
Credential | PH.D. |
Practice Address |
3252 Holiday Ct Ste 227 La Jolla CA 92037-1808 |
Practice Telephone | 8583628779 |
Practice Fax Number | 8584555556 |
Mailing Telephone | 8583628779 |
Mailing Fax Number | 8584555556 |
Enumeration Date | 2005-09-02 |
Last Update Date | 2018-02-06 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | PSY7320 | CA | Behavioral Health & Social Service Providers |
N | 103T00000X | Psychologist | PSY7320 | CA | Behavioral Health & Social Service Providers |
N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY7320 | CA | Behavioral Health & Social Service Providers |
N | 103TH0100X |
Psychologist Specialization: Health Service |
PSY7320 | CA | Behavioral Health & Social Service Providers |
Street Address |
3252 HOLIDAY CT STE 227 |
City | LA JOLLA |
State | CA |
Zip Code | 92037-1808 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710437025 | Kadima Neuropsychiatry Institute, Medical Corp | Psychiatry & Neurology | 3252 Holiday Ct, Ste 112, La Jolla, CA 92037-0027 | 2016-10-11 |
1265988000 | Maxine Weseley | Counselor | 3252 Holiday Ct, Suite 225, La Jolla, CA 92037-0027 | 2016-08-31 |
1174076954 | Benjamin Mckenna | Psychologist | 3252 Holiday Ct, La Jolla, CA 92037-0027 | 2016-07-28 |
1982066536 | La Jolla Center for Facial Plastic Surgery | Plastic Surgery | 3252 Holiday Ct, Suite 206, La Jolla, CA 92037-0027 | 2016-03-23 |
1760857841 | University City Surgery Center, Inc | Clinic/Center | 3252 Holiday Ct, Suite 210, La Jolla, CA 92037-0027 | 2015-12-01 |
1255703831 | Karen Bloch, Mft | Marriage & Family Therapist | 3252 Holiday Ct, Suite 227, La Jolla, CA 92037-0027 | 2015-10-22 |
1366889339 | Ozioma Peace Uche | Pharmacist | 3252 Holiday Ct, La Jolla, CA 92037-0027 | 2013-05-30 |
1770929267 | Sylvia Cartwright M.d. Incorporated | Psychiatry & Neurology | 3252 Holiday Ct, Suite 100, La Jolla, CA 92037-0027 | 2013-05-11 |
1699059543 | Accuquest Hearing Center, Inc. | Audiologist-Hearing Aid Fitter | 3252 Holiday Ct, Ste 208, La Jolla, CA 92037-0027 | 2011-10-10 |
1093014177 | Shirley Shermet Babior | Social Worker | 3252 Holiday Ct, 220, La Jolla, CA 92037-0027 | 2011-03-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
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Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326103771 | Amy J Jak | Clinical Neuropsychologist | Ucsd Neuropsychological Associates, 9500 Gilman Dr. (0603), La Jolla, CA 92037-0603 | 2006-12-26 |
1306375969 | Neuropsychology Consult Services Inc | Clinical Neuropsychologist | 9834 Genesee Ave Ste 427, La Jolla, CA 92037-1264 | 2017-06-07 |
1417261769 | Cinnamon Sue Bloss | Clinical Neuropsychologist | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2010-07-28 |
1629267000 | Carrie Rebecca Mcdonald | Clinical Neuropsychologist | 8950 Villa La Jolla Dr, Suite C101, La Jolla, CA 92037-0841 | 2007-10-22 |
1770788697 | Douglas Christian Johnson | Clinical Neuropsychologist | 8939 Villa La Jolla Dr, Suite #230, La Jolla, CA 92037-1732 | 2007-06-20 |
1720119530 | Nancy Ellen Markel | Clinical Neuropsychologist | 8950 Villa La Jolla Dr, A108, La Jolla, CA 92037-1714 | 2007-03-07 |
1346344371 | Karen K Zappone | Clinical Neuropsychologist | 7946 Ivanhoe Ave, Suite 204, La Jolla, CA 92037-4516 | 2006-09-11 |
1669401360 | Michael Howard Kabat | Clinical Neuropsychologist | 9834 Genesee Ave, Suite 427, La Jolla, CA 92037-1223 | 2006-07-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407455108 | Chelsea Vilinskas | Clinical Neuropsychologist | 2624 Larkey Ln, Walnut Creek, CA 94597-2439 | 2020-10-22 |
1417554049 | Andrea Alioto | Clinical Neuropsychologist | 247 San Carlos Ave, Redwood City, CA 94061-3518 | 2020-10-06 |
1265045975 | Well Psychology, Inc. | Clinical Neuropsychologist | 3525 Del Mar Heights Rd # 1881, San Diego, CA 92130-2199 | 2020-08-24 |
1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
1437767399 | Ni Sun-suslow | Clinical Neuropsychologist | 220 Dickinson St # B, San Diego, CA 92103-2071 | 2020-07-16 |
1366061707 | Talia Rose Seider | Clinical Neuropsychologist | 760 Westwood Plz Ste 37-360b, Los Angeles, CA 90024-5055 | 2020-04-15 |
1699394270 | Colin Jarred Gallagher | Clinical Neuropsychologist | 760 Westwood Plz # C8-854, Los Angeles, CA 90095-8353 | 2020-04-13 |
1649807058 | Nicholas S. Thaler Phd A Psychological Corporation | Clinical Neuropsychologist | 1526 14th St Ste 109, Santa Monica, CA 90404-3320 | 2020-03-25 |
1447890116 | Hussah Alkharafi | Clinical Neuropsychologist | 2720 Neilson Way # 5701, Santa Monica, CA 90405-4060 | 2020-01-10 |
1609414788 | Linda Rice | Clinical Neuropsychologist | 617 Bluegrass St, Simi Valley, CA 93065-5460 | 2019-12-19 |
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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.