MRS. RACHEL KURNIADI (NPI# 1063664472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063664472 |
| Entity Type | Individual |
| Full Name | MRS. RACHEL KURNIADI |
| Credential | M.D. |
| Practice Address |
5030 Camino De La Siesta Suite 208 San Diego CA 92108-3116 |
| Practice Telephone | 6192606300 |
| Practice Fax Number | 8583732447 |
| Mailing Telephone | 6192606300 |
| Mailing Fax Number | 8583732447 |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2011-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
A41752 | CA | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | A41752 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
5030 CAMINO DE LA SIESTA SUITE 208 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-3116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073516316 | Robin Carol Wedberg | Obstetrics & Gynecology | 5030 Camino De La Siesta, Ste 106, San Diego, CA 92108-3117 | 2005-05-31 |
| 1831634971 | Lucia Gonzales | Nurse Practitioner | 5030 Camino De La Siesta, #106, San Diego, CA 92108-3116 | 2016-12-28 |
| 1073973509 | Jared Brown | Physical Therapist | 5030 Camino De La Siesta, #220, San Diego, CA 92108-3116 | 2016-02-25 |
| 1659765378 | Atefeh Eslami | Physician Assistant | 5030 Camino De La Siesta, Ste 106, San Diego, CA 92108 | 2015-03-19 |
| 1598158768 | Tasia Dianne Wagner | Nurse Practitioner | 5030 Camino De La Siesta, Suite 204, San Diego, CA 92108-3116 | 2015-03-12 |
| 1508255068 | Travis Chase | Nurse Practitioner | 5030 Camino De La Siesta, Suite 204, San Diego, CA 92108-3116 | 2015-01-21 |
| 1073930384 | Boston Medical Group California, L.L.C. | Urology | 5030 Camino De La Siesta, Suite 210, San Diego, CA 92108 | 2014-03-25 |
| 1598007296 | Nubia J Swain Md Inc | Psychiatry & Neurology | 5030 Camino De La Siesta, Suite 308, San Diego, CA 92108-3116 | 2013-03-20 |
| 1205115532 | Jian Min Fan | Acupuncturist | 5030 Camino De La Siesta, Suite 408, San Diego, CA 92108-3116 | 2011-08-04 |
| 1942447651 | Mobile Medical Group | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5030 Camino De La Siesta, Suite 208, San Diego, CA 92108-3116 | 2009-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144528084 | Richard Daniel Della Penn | Family Medicine | 700 Front Street, 2003, San Diego, CA 92101 | 2011-03-02 |
| 1699859488 | Elizabeth U Rhee | Family Medicine | 10990 San Diego Mission Road, Kaiser Permanente Continuing Care Services, San Diego, CA 92108-2139 | 2006-10-25 |
| 1346607678 | Qualitas Health Partners, Inc. | Family Medicine | 8787 Complex Dr, Suite 130, San Diego, CA 92123-1419 | 2016-01-18 |
| 1316310840 | Asma Alghamdi | Family Medicine | 1601 Precision Park Ln, San Diego, CA 92173-1345 | 2015-11-05 |
| 1437584992 | George Forest Landman | Family Medicine | 1501 5th Ave Ste 100, San Diego, CA 92101-3251 | 2013-09-03 |
| 1548468390 | Sheryl Olynn Cramer | Family Medicine | 5030 Camino De La Siesta, Suite 208, San Diego, CA 92108-3116 | 2007-07-03 |
| 1912055807 | Gary J Birnbaum | Family Medicine | 4647 Zion Ave, San Diego, CA 92120-2507 | 2007-01-08 |
| 1780732685 | Kyoung Edward Han | Family Medicine | 4647 Zion Ave, San Diego, CA 92120-2507 | 2007-01-08 |
| 1942369517 | Steven Alvin La Fond | Family Medicine | 4647 Zion Ave, San Diego, CA 92120-2507 | 2006-12-08 |
| 1275692840 | Jeffrey D. Howell | Family Medicine | 4647 Zion Ave, San Diego, CA 92120-2507 | 2006-12-08 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on MRS. RACHEL KURNIADI.
| 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.