JEFFREY WALSH (NPI# 1043620578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043620578 |
| Entity Type | Individual |
| Full Name | JEFFREY WALSH |
| Credential | M.D. |
| Practice Address |
3102 E Highland Ave Patton CA 92369 |
| Mailing Address |
3102 E Highland Ave Patton CA 92369-7813 |
| Practice Telephone | 9094257000 |
| Mailing Telephone | 9094257000 |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2018-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
139613 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043734254 | Jeffrey Philip Walsh | Pharmacist | 4978 Pond Ridge Dr, Riverview, FL 33578 | 2017-07-29 |
| 1265608780 | Jeffrey Thomas Walsh | Physician Assistant | 918 Youngstown Warren Rd Ste C, Niles, OH 44446-4623 | 2008-05-05 |
| 1376906248 | Jeffrey J. Walsh | Registered Nurse | 2747 4th St, Brunswick, GA 31520-3714 | 2016-03-30 |
| 1043610678 | Jeffrey Walsh | Physical Therapist | 552 6th Ave, New York, NY 10011-2010 | 2014-09-02 |
| Street Address |
3102 E HIGHLAND AVE |
| City | PATTON |
| State | CA |
| Zip Code | 92369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174592158 | Gregory Bruce Leong | Psychiatry & Neurology | 3102 E Highland Ave, Patton, CA 92369-7813 | 2006-03-14 |
| 1851830053 | Hong Nguyen | Pharmacist | 3102 E Highland Ave, Patton, CA 92369-7813 | 2017-02-21 |
| 1215476627 | Hai Nguyen | Pharmacist | 3102 E Highland Ave, Patton, CA 92369-7813 | 2017-02-17 |
| 1669866042 | Eddie Lee Diaz | Pharmacist | 3102 E Highland Ave, Main Phamacy, Patton, CA 92369-7813 | 2015-03-24 |
| 1386065274 | Shobha George | Social Worker | 3102 E Highland Ave, Patton, CA 92369-7813 | 2013-12-19 |
| 1629416482 | Johnnie Chi | Psychiatry & Neurology | 3102 E Highland Ave, Patton, CA 92369-7813 | 2013-06-13 |
| 1144576299 | Chen-ying Wu | Psychiatry & Neurology | 3102 E Highland Ave, Patton, CA 92369-7813 | 2012-07-26 |
| 1598025165 | Loren Carrillo King | Psychologist | 3102 E Highland Ave, Patton, CA 92369-7813 | 2012-05-16 |
| 1235401050 | Joy Tuesday Ramas Engracia | Nurse Practitioner | 3102 E Highland Ave, Patton, CA 92369-7813 | 2012-02-09 |
| 1932494432 | Jason M. Bailie | Clinical Neuropsychologist | 3102 E Highland Ave, Patton, CA 92369-7813 | 2011-06-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598095606 | Carolyn Boosalis Foley | Psychologist | 3102 E Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2010-01-12 |
| 1023255478 | Crystal Mueller | Psychologist | 3102 E. Highland Ave., Patton State Hospital, Patton, CA 92369 | 2009-01-07 |
| 1487698304 | Nitin Kulkarni | Psychiatry & Neurology | 3102. E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2006-06-15 |
| 1174562680 | Flavia Jorge | Psychologist | 3102 E.highland Avenue, Patton, CA 92369 | 2006-06-06 |
| 1326090127 | Mendel Jonathan Feldsher | Psychiatry & Neurology | 3102 East Highland Avenue, Patton, CA 92369 | 2006-05-17 |
| 1124070560 | Liana Niculina Tanase | Psychiatry & Neurology | 3102 E. Highland Ave, Medical Staff Office, Patton, CA 92369 | 2006-05-16 |
| 1518919802 | Manuel B Desagun | Psychiatry & Neurology | 3102 East Highway Ave, Patton, CA 92369 | 2006-05-16 |
| 1225080633 | John I Benson | Psychiatry & Neurology | 3102 East Highland Ave, Patton, CA 92369 | 2006-05-16 |
| 1295735298 | Bruce L Karp | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2005-08-01 |
| 1245739655 | Miriam Irvin | Social Worker | 3102 E Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2018-02-12 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487698304 | Nitin Kulkarni | Psychiatry & Neurology | 3102. E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2006-06-15 |
| 1326090127 | Mendel Jonathan Feldsher | Psychiatry & Neurology | 3102 East Highland Avenue, Patton, CA 92369 | 2006-05-17 |
| 1124070560 | Liana Niculina Tanase | Psychiatry & Neurology | 3102 E. Highland Ave, Medical Staff Office, Patton, CA 92369 | 2006-05-16 |
| 1518919802 | Manuel B Desagun | Psychiatry & Neurology | 3102 East Highway Ave, Patton, CA 92369 | 2006-05-16 |
| 1225080633 | John I Benson | Psychiatry & Neurology | 3102 East Highland Ave, Patton, CA 92369 | 2006-05-16 |
| 1629416482 | Johnnie Chi | Psychiatry & Neurology | 3102 E Highland Ave, Patton, CA 92369-7813 | 2013-06-13 |
| 1144576299 | Chen-ying Wu | Psychiatry & Neurology | 3102 E Highland Ave, Patton, CA 92369-7813 | 2012-07-26 |
| 1386959666 | Roshinie M Fernando | Psychiatry & Neurology | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2010-08-11 |
| 1811209554 | Bobby Navin Kaura | Psychiatry & Neurology | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2010-07-10 |
| 1699090324 | Desiree Ann Montes | Psychiatry & Neurology | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2010-04-06 |
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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.