JILLIAN YUDIN (NPI# 1063766442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063766442 |
| Entity Type | Individual |
| Full Name | JILLIAN YUDIN |
| Credential | SLPA |
| Practice Address |
3731 6th Ave Suite 103 San Diego CA 92103-4383 |
| Practice Telephone | 6192913515 |
| Practice Fax Number | 6192913529 |
| Mailing Telephone | 6192913515 |
| Mailing Fax Number | 6192913529 |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2012-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SPA 1402 | CA | Speech, Language and Hearing Service Providers |
| Street Address |
3731 6TH AVE SUITE 103 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-4383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679780530 | Bridgette Karen Anderson | Occupational Therapist | 3731 6th Ave, Suite 103, San Diego, CA 92103-4383 | 2007-05-17 |
| 1053706515 | Jenny Meyer | Occupational Therapist | 3731 6th Ave, Suite 103, San Diego, CA 92103-4383 | 2015-04-01 |
| 1215327903 | Megan Renee Hanna | Occupational Therapist | 3731 6th Ave, Suite 100, San Diego, CA 92103-4383 | 2015-02-02 |
| 1104223577 | Christie Smith | Behavioral Analyst | 3731 6th Ave, Suite 100, San Diego, CA 92103-4383 | 2014-12-01 |
| 1710380217 | Jane James | Speech-Language Pathologist | 3731 6th Ave, 103, San Diego, CA 92103-4383 | 2014-09-29 |
| 1750784252 | Michelle Chan | Occupational Therapist | 3731 6th Ave, 103, San Diego, CA 92103-4383 | 2014-09-29 |
| 1770999856 | Melanie Reis | Behavioral Analyst | 3731 6th Ave, Suite 100, San Diego, CA 92103-4383 | 2014-07-09 |
| 1306265467 | Sergio Alberto Paz I | Occupational Therapist | 3731 6th Ave, Suite 103, San Diego, CA 92103-4383 | 2014-04-15 |
| 1366786097 | Debbie Hsu | Behavioral Analyst | 3731 6th Ave, San Diego, CA 92103-4383 | 2012-11-19 |
| 1366796740 | Andrea A. Angstadt | Specialist/Technologist | 3731 6th Ave, Suite 103, San Diego, CA 92103-4383 | 2012-11-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366058505 | Amanda Lauren Ramos Liberto Mcnamara | Specialist/Technologist | 7525 Metropolitan Drive, 308, San Diego, CA 92108-4412 | 2020-09-22 |
| 1316474018 | Shaina Mccollum | Specialist/Technologist | 2849 A St, Unit 3, San Diego, CA 92102-1775 | 2017-05-12 |
| 1922474568 | Christopher James Upton | Specialist/Technologist | 5151 Murphy Canyon Rd, Suite 150, San Diego Clinic, San Diego, CA 92123 | 2015-08-18 |
| 1699150656 | Laura Grace Spracher | Specialist/Technologist | 7850 Mission Center Ct Ste 100, San Diego, CA 92108-1323 | 2015-07-20 |
| 1891181087 | Angela Diaz | Specialist/Technologist | 9604 Caminito Tizona, San Diego, CA 92126-4103 | 2015-04-14 |
| 1578162244 | Jessica Cobb | Specialist/Technologist | 4204a Adams Ave, San Diego, CA 92116-2300 | 2020-10-22 |
| 1851920128 | Dolores Oviedo | Specialist/Technologist | 5151 Murphy Canyon Rd Ste 150, San Diego, CA 92123-4480 | 2020-04-07 |
| 1013573567 | Amanda Smith | Specialist/Technologist | 9466 Black Mountain Rd Ste 100, San Diego, CA 92126-4550 | 2019-05-09 |
| 1588123061 | Erin Murtagh | Specialist/Technologist | 5151 Murphy Canyon Rd Ste 150, San Diego, CA 92123-4480 | 2019-03-14 |
| 1659837359 | Jennyd Verdin | Specialist/Technologist | 7090 Miratech Dr, San Diego, CA 92121-3109 | 2019-02-18 |
| 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.