KANOKWAN KULTAN (NPI# 1063028298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063028298 |
| Entity Type | Individual |
| Full Name | KANOKWAN KULTAN |
| Practice Address |
15850 Babcock St San Diego CA 92127-3680 |
| Practice Telephone | 8583448536 |
| Mailing Telephone | 8583448536 |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
95015361 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
15850 BABCOCK ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92127-3680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740800325 | Jacob New | Student in an Organized Health Care Education/Training Program | 10790 Rancho Bernardo Rd., Mail Drop 4s-205, San Diego, CA 92127 | 2020-04-23 |
| 1376174946 | Marjorie Francisco Noy | Social Worker | 16550 W. Bernardo Drive, Bldg. 8/1688n, San Diego, CA 92127 | 2020-01-31 |
| 1295253839 | Chelsea Saville | Physical Therapist | 16680 West Bernardo Drive, San Diego, CA 92127 | 2017-09-05 |
| 1558881862 | Dianna Christine Goodwin | Social Worker | 11031 Via Frontera Suite C, San Diego, CA 92127 | 2017-06-27 |
| 1164966495 | Kelsey Michaela Bright | Specialist/Technologist | 15778 Camino Crisalida, San Diego, CA 92127 | 2016-12-06 |
| 1588112924 | Orenda Recovery | Substance Abuse Rehabilitation Facility | 8110 Twilight Point Way, San Diego, CA 92127 | 2016-09-14 |
| 1063868560 | Jung Oh | Pharmacist | 18087 Valladares Drive, San Diego, CA 92127 | 2016-05-13 |
| 1225496524 | Davey Dental Corp | Dentist | 16460 Paseo Del Sur, Suite 105, San Diego, CA 92127 | 2016-02-02 |
| 1942673496 | Davey Dental Corporation | Dentist | 1640 Paseo Del Sur, Suite 105, San Diego, CA 92127 | 2015-11-05 |
| 1164800025 | Maryam Derakhshani | Dentist | 10960 La Alberca Avenue, San Diego, CA 92127 | 2015-05-12 |
| Find all providers in zip 92127 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730357229 | Michael Andrew Palacio | Nurse Practitioner | 7625 Mesa College Dr Ste 315a, San Diego, CA 92111-5343 | 2008-02-19 |
| 1447462130 | Barbara Rose Lome | Nurse Practitioner | Scripps Mercy Hospital- Trauma Dept, 4077 Fifth Avenue, San Diego, CA 92104 | 2007-05-04 |
| 1144267642 | Darlene Mcmiddleton | Nurse Practitioner | 1963 4th Ave, San Diego, CA 92101-2394 | 2006-06-01 |
| 1730176785 | Kristine Lynn Ortiz | Nurse Practitioner | 7901 Frost St, Sharp Memorial Hospital Cardiac Transplant Department, San Diego, CA 92123-2701 | 2005-10-04 |
| 1891310538 | Jordan Ray Noble | Nurse Practitioner | 4077 Fifth Ave, San Diego, CA 92103-2105 | 2020-06-09 |
| 1811543622 | Alexandria Diane Chavez | Nurse Practitioner | 200 W Arbor Dr, San Diego, CA 92103 | 2019-08-16 |
| 1396255121 | Yendry Charlotte Acosta | Nurse Practitioner | 292 Euclid Ave Ste 115, San Diego, CA 92114-3629 | 2017-10-06 |
| 1104346022 | Nicole Marie Murphy | Nurse Practitioner | 7801 Mission Center Ct, Suite 250, San Diego, CA 92108 | 2017-06-21 |
| 1972934958 | Emilee Patel | Nurse Practitioner | 4077 5th Ave, Mer62, San Diego, CA 92103-2105 | 2013-12-02 |
| 1063842078 | Caitlin Gordon | Nurse Practitioner | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2013-11-13 |
| Find all providers in SAN DIEGO | ||||
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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.