TRACY L. HARRIS (NPI# 1073546081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073546081 |
| Entity Type | Organization |
| Organization Name | TRACY L. HARRIS |
| Other Organization Name | AVALON HOSPICE & PALLIATIVE CARE |
| Practice Address |
3914 Murphy Canyon Rd Suite # A226 San Diego CA 92123-4491 |
| Practice Telephone | 8587510315 |
| Practice Fax Number | 8585600435 |
| Mailing Telephone | 8587510315 |
| Mailing Fax Number | 8585600435 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2008-06-17 |
| Authorized Official Name | MR. TRACY LYNN HARRIS (ADMINISTRATOR/CEO) |
| Authorized Official Telephone | 8587510315 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 550000104 | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HPC01791F | 05 |
| Other Name | Type Code |
|---|---|
| Avalon Hospice & Palliative Care | Doing Business As Name - Organization |
| Street Address |
3914 MURPHY CANYON RD SUITE # A226 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-4491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952330052 | Joel Larralde | Urology | 3914 Murphy Canyon Rd, Suite# A206, San Diego, CA 92123-4491 | 2006-07-01 |
| 1053941146 | Jocelyn Jezycki | Behavioral Analyst | 3914 Murphy Canyon Rd, San Diego, CA 92123-4491 | 2020-01-17 |
| 1235603580 | Shannon Vinson | Behavior Technician | 3914 Murphy Canyon Rd, San Diego, CA 92123-4491 | 2019-01-18 |
| 1003322975 | Brandie Arrington | Technician, Other | 3914 Murphy Canyon Rd, San Diego, CA 92123-4491 | 2017-12-14 |
| 1639684541 | Priscilla Irene Cisneros | Behavior Technician | 3914 Murphy Canyon Rd, San Diego, CA 92123-4491 | 2017-12-14 |
| 1861908758 | Daneshia Sandlin | Behavior Technician | 3914 Murphy Canyon Rd, San Diego, CA 92123-4491 | 2017-12-14 |
| 1700391695 | John Magarian | Behavior Technician | 3914 Murphy Canyon Rd, San Diego, CA 92123-4491 | 2017-12-13 |
| 1639614688 | Koinonia Foster Homes Inc | Community/Behavioral Health | 3914 Murphy Canyon Rd, Ste. A224, San Diego, CA 92123-4491 | 2016-12-29 |
| 1225580350 | Rebecca Lee Arnold | Marriage & Family Therapist | 3914 Murphy Canyon Rd, Suite A237, San Diego, CA 92123-4491 | 2016-10-24 |
| 1952767022 | Senior Emergency Alert System, Inc | Emergency Response System Companies | 3914 Murphy Canyon Rd, Suite A-164, San Diego, CA 92123-4491 | 2016-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033583 | Mission Bay Hospice, Inc. | Hospice Care, Community Based | 10251 Vista Sorrento Pkwy Ste 280b, San Diego, CA 92121-3774 | 2020-11-03 |
| 1144821463 | La Jolla Hospice, Inc. | Hospice Care, Community Based | 10251 Vista Sorrento Pkwy Ste 280c, San Diego, CA 92121-3774 | 2020-11-03 |
| 1942801261 | Compassionate Palliative Care, Inc. | Hospice Care, Community Based | 10251 Vista Sorrento Pkwy Ste 280d, San Diego, CA 92121-3774 | 2020-11-03 |
| 1316548647 | Ocean Breeze Hospice, Inc. | Hospice Care, Community Based | 10251 Vista Sorrento Pkwy Ste 280e, San Diego, CA 92121-3774 | 2020-11-03 |
| 1851992325 | Palliative Tender Care, Inc. | Hospice Care, Community Based | 8400 Miramar Rd Ste 214a, San Diego, CA 92126-6330 | 2020-11-02 |
| 1952900680 | Ama Hospice Care Inc | Hospice Care, Community Based | 350 10th Ave Ste 1020, San Diego, CA 92101-7496 | 2020-10-23 |
| 1609474345 | Ray of Light Hospice, Inc. | Hospice Care, Community Based | 8400 Miramar Rd Ste 211a, San Diego, CA 92126-4387 | 2020-10-14 |
| 1245838986 | Ethereal Hospice, Inc. | Hospice Care, Community Based | 8400 Miramar Rd Ste 235b, San Diego, CA 92126-4387 | 2020-10-14 |
| 1629676366 | San Diego Hospice Care, Inc. | Hospice Care, Community Based | 8400 Miramar Rd Ste 241c, San Diego, CA 92126-4387 | 2020-10-14 |
| 1164020806 | Miramar Hospice, Inc. | Hospice Care, Community Based | 8400 Miramar Rd Ste 242c, San Diego, CA 92126-4387 | 2020-10-14 |
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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.