MICHAEL JAMES PRESTGARD-DUKE (NPI# 1073141586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073141586 |
| Entity Type | Individual |
| Full Name | MICHAEL JAMES PRESTGARD-DUKE |
| Credential | MD |
| Practice Address |
5454 El Cajon Blvd San Diego CA 92115-3621 |
| Practice Telephone | 6195152400 |
| Mailing Telephone | 6195152400 |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2020-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
5454 EL CAJON BLVD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92115-3621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164496386 | Ava Lou Carmichael Chase | Nurse Practitioner | 5454 El Cajon Blvd, San Diego, CA 92115-3621 | 2006-02-14 |
| 1013545185 | Yasmeen Alhomsy | Student in an Organized Health Care Education/Training Program | 5454 El Cajon Blvd, San Diego, CA 92115-3621 | 2020-04-01 |
| 1376171520 | Lucas Jame Burton | Student in an Organized Health Care Education/Training Program | 5454 El Cajon Blvd, San Diego, CA 92115-3621 | 2020-03-31 |
| 1851929442 | Stephanie Wong | Student in an Organized Health Care Education/Training Program | 5454 El Cajon Blvd, San Diego, CA 92115-3621 | 2020-03-30 |
| 1447888284 | Joshua Daniel Bruhn | Student in an Organized Health Care Education/Training Program | 5454 El Cajon Blvd, San Diego, CA 92115-3621 | 2020-03-28 |
| 1255893368 | Raquel Cornejo Pina | Student in an Organized Health Care Education/Training Program | 5454 El Cajon Blvd, San Diego, CA 92115-3621 | 2019-04-05 |
| 1558823625 | Louie Humberto Rodriguez | Student in an Organized Health Care Education/Training Program | 5454 El Cajon Blvd, San Diego, CA 92115-3621 | 2019-04-05 |
| 1811459456 | Jonathan Melton Lish | Student in an Organized Health Care Education/Training Program | 5454 El Cajon Blvd, San Diego, CA 92115-3621 | 2019-04-03 |
| 1033671813 | Clare Margaret Mundy | Student in an Organized Health Care Education/Training Program | 5454 El Cajon Blvd, San Diego, CA 92115-3621 | 2019-04-02 |
| 1093276198 | Justin Thai | Student in an Organized Health Care Education/Training Program | 5454 El Cajon Blvd, San Diego, CA 92115-3621 | 2019-03-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313922 | Mayra Ailed Bugarin | Student in an Organized Health Care Education/Training Program | City Heights Family Health Center 5454, El Cajon Blvd, San Diego, CA 92115 | 2020-04-01 |
| 1093369878 | Chang Liu | Counselor | 3539 College Avenue, San Diego, CA 92115 | 2019-07-30 |
| 1689238560 | Donia Ahadian | Student in an Organized Health Care Education/Training Program | City Heights Family Health Center, 5454 El Cajon Blvd, San Diego, CA 92115 | 2019-04-26 |
| 1780157859 | James Michael Sites | Military Health Care Provider | Uss Shoup Ddg 86, San Diego, CA 92115 | 2019-01-10 |
| 1780163006 | Marcos Luis Sandoval | Case Manager/Care Coordinator | 6224 El Cajon Blvd, Suite 17, San Diego, CA 92115 | 2018-08-08 |
| 1437651981 | Phyllis Lynette Pryor | Licensed Vocational Nurse | 4974 El Cajon Blvd Suite A, San Diego, CA 92115 | 2018-03-01 |
| 1982125605 | Ellen Medical Transport | Non-emergency Medical Transport (VAN) | 4587 Winona Ave #5, San Diego, CA 92115 | 2017-07-03 |
| 1992225296 | P'okot LLC | Non-emergency Medical Transport (VAN) | 5511 Adelaide Ave, 26, San Diego, CA 92115 | 2017-06-27 |
| 1578019840 | Alfred Zygmunt Nowak | Specialist/Technologist | 6663 Reservoir Ln, San Diego, CA 92115 | 2016-08-28 |
| 1639534183 | Kalkaal Financial Enterprise, LLC. | Non-emergency Medical Transport (VAN) | 5055 Collwood Blvd., Unit 108, San Diego, CA 92115 | 2015-12-29 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033716204 | Julianne A. Demery | Student in an Organized Health Care Education/Training Program | Naval Base San Diego 2450 Craven Street #3300, San Diego, CA 92136-0001 | 2020-10-01 |
| 1649885732 | Leanne Evalyn Morancie | Student in an Organized Health Care Education/Training Program | 4231 Balboa Ave # 1245, San Diego, CA 92117-5504 | 2020-09-15 |
| 1689288136 | Melissa Eileen Fitzgibbon | Student in an Organized Health Care Education/Training Program | 5114 63rd St, San Diego, CA 92115-1407 | 2020-09-02 |
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1861004392 | Mareena Biju | Student in an Organized Health Care Education/Training Program | 10995 Evening Creek Dr E, San Diego, CA 92128-4009 | 2020-08-17 |
| 1184235202 | Taylor G Wasko | Student in an Organized Health Care Education/Training Program | 4114 Swift Ave Apt 4, San Diego, CA 92104-2249 | 2020-08-12 |
| 1790394245 | Elisa Melo Da Silva Smerik | Student in an Organized Health Care Education/Training Program | 3235 Loma Riviera Dr, San Diego, CA 92110-5511 | 2020-07-29 |
| 1215554076 | Ana Mohammad-zadeh | Student in an Organized Health Care Education/Training Program | 17289 Russet St, San Diego, CA 92127-2135 | 2020-06-28 |
| 1265056048 | Tilbe Yildirim | Student in an Organized Health Care Education/Training Program | 1963 Fourth Ave., San Diego, CA 92101 | 2020-06-08 |
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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.