J ROTSEN EVARISTO (NPI# 1033667027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033667027 |
| Entity Type | Individual |
| Full Name | J ROTSEN EVARISTO |
| Credential | M.D. |
| Practice Address |
9415 Campus Point Dr La Jolla CA 92093-1350 |
| Practice Telephone | 8585342020 |
| Mailing Telephone | 8585342020 |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2016-09-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 456 | CA | Student, Health Care |
| Street Address |
9415 CAMPUS POINT DR |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92093-1350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861462525 | Karin Elizabeth Thomas | Ophthalmology | 9415 Campus Point Dr, Dept. of Ophthalmology, La Jolla, CA 92093-0946 | 2006-01-25 |
| 1902398506 | Lingling Huang | Internal Medicine | 9415 Campus Point Dr, La Jolla, CA 92093-2621 | 2018-05-31 |
| 1699262394 | Liane Dallalzadeh | Student in an Organized Health Care Education/Training Program | 9415 Campus Point Dr, La Jolla, CA 92093-1804 | 2018-04-18 |
| 1730689340 | Aimee C. Chang | Student in an Organized Health Care Education/Training Program | 9415 Campus Point Dr, La Jolla, CA 92093-1350 | 2018-02-20 |
| 1639697451 | Carol Yu | Optometrist | 9415 Campus Point Dr, La Jolla, CA 92093 | 2017-08-31 |
| 1912444076 | Manuel Jose Amador | Physician Assistant | 9415 Campus Point Dr, La Jolla, CA 92093-0946 | 2017-01-27 |
| 1902357486 | Patrick Yang | Specialist | 9415 Campus Point Dr, La Jolla, CA 92093-1350 | 2016-10-19 |
| 1790232783 | Nevin W El-nimri | Optometrist | 9415 Campus Point Dr, La Jolla, CA 92093-3219 | 2016-09-07 |
| 1194170993 | Amit Meshi | Chronic Disease Hospital | 9415 Campus Point Dr, Box 0946, La Jolla, CA 92093-1350 | 2016-04-28 |
| 1407215197 | Michael Kinori | Student in an Organized Health Care Education/Training Program | 9415 Campus Point Dr, University of California San Diego, La Jolla, CA 92093-0946 | 2016-02-23 |
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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 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891343539 | Nicki Mashayekan | Student in an Organized Health Care Education/Training Program | 2745 Costebelle Dr, La Jolla, CA 92037-3518 | 2019-08-27 |
| 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 |
| 1003471939 | Hana Marie Russo | Student in an Organized Health Care Education/Training Program | Uc San Diego School of Medicine 9500 Gilman Drive, La Jolla, CA 92093-0001 | 2019-05-06 |
| 1770146813 | Estefania Fernandez | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Dr, Mc 7433, La Jolla, CA 92037-7433 | 2019-04-15 |
| 1538629258 | Lauren Elizabeth Stone | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Dr # 7893, La Jolla, CA 92037-1300 | 2019-03-20 |
| 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 |
| 1164900866 | Sherin Hashem | Student in an Organized Health Care Education/Training Program | 9444 Medical Center Drive Pathology Department, La Jolla, CA 92093-0001 | 2018-08-03 |
| 1598252355 | Morrison Mansour Steel | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr # 851, La Jolla, CA 92093-0851 | 2018-04-17 |
| 1578060067 | Michelle Sloan | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr #0851, La Jolla, CA 92093 | 2018-04-10 |
| 1912404492 | Monica Cory Federoff | Student in an Organized Health Care Education/Training Program | Department of Psychiatry Ucsd 9500 Gilman Drive, La Jolla, CA 92093-4131 | 2018-04-10 |
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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.