BOB NAIM BERNABA (NPI# 1053547075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053547075 |
| Entity Type | Individual |
| Full Name | BOB NAIM BERNABA |
| Credential | M.D, |
| Practice Address |
300 Fir St San Diego CA 92101-2327 |
| Practice Telephone | 6194461530 |
| Mailing Telephone | 6194461530 |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2012-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
A103834 | CA | Allopathic & Osteopathic Physicians |
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
A103834 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
300 FIR ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92101-2327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275533465 | Habib Dalhoumi | Family Medicine | 300 Fir St, San Diego, CA 92101-2327 | 2005-07-28 |
| 1043789878 | Kristie Yee Dang | Pharmacist | 300 Fir St, San Diego, CA 92101-2327 | 2018-11-22 |
| 1306322003 | Emma Reaves | Physical Therapist | 300 Fir St, San Diego, CA 92101-2327 | 2018-07-16 |
| 1982109740 | Haran Sivakumar | Family Medicine | 300 Fir St, San Diego, CA 92101-2327 | 2018-03-26 |
| 1033644844 | Kathleen Kramer | General Practice | 300 Fir St, San Diego, CA 92101-2393 | 2017-04-30 |
| 1891153821 | Beverly Hunter | Pharmacist | 300 Fir St, San Diego, CA 92101-2327 | 2016-02-04 |
| 1528423472 | Lauren Chu | Pharmacist | 300 Fir St, San Diego, CA 92101-2327 | 2015-12-18 |
| 1447637145 | Fadi Georges | Family Medicine | 300 Fir St, San Diego, CA 92101-2393 | 2015-05-01 |
| 1568849495 | David Francis Reilly | General Practice | 300 Fir St, San Diego, CA 92101-2327 | 2015-04-29 |
| 1053718270 | Hector Morales Jr. | Pharmacist | 300 Fir St, San Diego, CA 92101-2327 | 2014-12-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415472 | Ryanleo Flores | Nurse Practitioner | 2017 1st Avenue, Suite 301, San Diego, CA 92101 | 2020-10-18 |
| 1265056048 | Tilbe Yildirim | Student in an Organized Health Care Education/Training Program | 1963 Fourth Ave., San Diego, CA 92101 | 2020-06-08 |
| 1235752585 | Liminal Solutions LLC | Home Health | 845 15th Street, Floors 1-4, San Diego, CA 92101 | 2020-05-21 |
| 1699258459 | Talya Donahue | Peer Specialist | 1045 Ninth Ave, San Diego, CA 92101 | 2018-09-07 |
| 1700380086 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1850 5th Ave, San Diego, CA 92101 | 2018-03-21 |
| 1013436161 | Yasmin Galicianava | Student in an Organized Health Care Education/Training Program | 734 Tenth Ave, San Diego, CA 92101 | 2017-09-10 |
| 1487172516 | Jessica Roach | Counselor | 1045 9th Avenue, San Diego, CA 92101 | 2017-09-09 |
| 1699204099 | Lisa Nunez | Student in an Organized Health Care Education/Training Program | 1963 4th Avenue, San Diego, CA 92101 | 2017-06-08 |
| 1356882245 | Dajah Mone't Lockett | Counselor | 2535 Kettner Blvd Suite 1a4, San Diego, CA 92101 | 2017-03-13 |
| 1649718495 | Luigi Bunyi | Behavior Technician | 501 W Broadway Suite 800, San Diego, CA 92101 | 2017-02-01 |
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| Taxonomy Code | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174679849 | Michael J Kelner | Pathology | 200 W Arbor Dr, San Diego, CA 92103 | 2007-01-26 |
| 1174680623 | David A Lepay | Pathology | 4510 Executive Dr, Suite 2257, San Diego, CA 92121-3021 | 2007-01-03 |
| 1770526931 | Dzung T Le | Pathology | Ucsd Medical Center, 200 West Arbor Drive Mc 8201, San Diego, CA 92103-8201 | 2006-06-14 |
| 1619955804 | Oluwole Fadare | Pathology | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124642988 | Eric Yeung | Pathology | 233 Coral View St, Monterey Park, CA 91755-5647 | 2020-06-07 |
| 1164058640 | Sean Dietrich Owens | Pathology | 1219 Harvard Dr, Davis, CA 95616-1710 | 2020-03-17 |
| 1427602036 | Healthcare Clinical Laboratory Inc. | Pathology | 326 N Vermont Ave # B, Los Angeles, CA 90004-3511 | 2019-07-31 |
| 1417509266 | He Yang | Pathology | 23616 Clearidge Dr, Valencia, CA 91354-1620 | 2019-07-11 |
| 1588221899 | Progenabiome, LLC | Pathology | 1845 Knoll Dr, Ventura, CA 93003-7321 | 2019-05-22 |
| 1932624145 | Pogos Martinyan | Pathology | 31344 Via Colinas Ste 104, Westlake Village, CA 91362-6853 | 2017-08-08 |
| 1700326576 | Thomas Wayne Bruice | Pathology | 6783 Palermi Pl, Carlsbad, CA 92011-4062 | 2017-02-27 |
| 1184041501 | Shohei Ikoma | Pathology | 2011 Zonal Ave Ste 200, Los Angeles, CA 90089-1015 | 2014-03-24 |
| 1376973040 | Pch Diagnostic Center | Pathology | 2990 E. Pacific Coast Hwy, Suite B, Long Beach, CA 90804 | 2013-11-18 |
| 1386949717 | Russell Allen Brown | Pathology | 4180 Network Cir, Sca18-3236, Santa Clara, CA 95054-1778 | 2011-01-15 |
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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.