MR. ROBERT ELLIS TRUITT JR. (NPI# 1104038124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104038124 |
| Entity Type | Individual |
| Full Name | MR. ROBERT ELLIS TRUITT JR. |
| Practice Address |
2950 Fern Ave San Diego CA 92154-3411 |
| Practice Telephone | 6192536741 |
| Mailing Telephone | 6192536741 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
RHF 72756 | CA | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295817062 | Robert A Truitt | Internal Medicine | 2351 Huguenard Dr, Suite 100, Lexington, KY 40503-3014 | 2006-10-20 |
| Street Address |
2950 FERN AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92154-3411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952922783 | Rosalie Ramos Gayares | Licensed Vocational Nurse | Del Sur Crisis Center, San Diego, CA 92154 | 2020-05-04 |
| 1720625791 | Michelle Lynn Mason | Counselor | 892 27th Street, San Diego, CA 92154 | 2019-12-09 |
| 1538604020 | Victor Luis Assid | Counselor | 3069 Camino Aleta, San Diego, CA 92154 | 2016-12-20 |
| 1710346275 | Abba Transportation Services LLC | Non-emergency Medical Transport (VAN) | 5640 Surfrider Way #255, San Diego, CA 92154 | 2016-02-12 |
| 1851788962 | Danielle D. Weisman | Psychologist | 9335 Airway Rd Ste 202, San Diego, CA 92154 | 2015-04-16 |
| 1215321955 | Carolina Gonzalez-garcia | Marriage & Family Therapist | 3085 Beyer Blvd Ste A103, San Diego, CA 92154 | 2015-03-19 |
| 1285042945 | Maricela Ochoa | Pharmacist | 710 Dennery Road, San Diego, CA 92154 | 2014-07-25 |
| 1376975300 | Shatori R Dearman | Social Worker | 5143 Bay Crest Ln, San Diego, CA 92154 | 2013-08-01 |
| 1912257940 | Bj's Trading LLC | Durable Medical Equipment & Medical Supplies | 9668 Heinrich Hertz Drive Suite G, San Diego, CA 92154 | 2012-09-18 |
| 1881997625 | Tywila Reeves Bivens | Nurse's Aide | 976 Picador Blvd, San Diego, CA 92154 | 2010-12-17 |
| Find all providers in zip 92154 | ||||
| Taxonomy Code | 2471C3402X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Radiography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306234703 | Socal Surgical Imaging | Radiologic Technologist | 10755 Scripps Poway Pkwy # 709, San Diego, CA 92131-3924 | 2015-01-07 |
| 1568701209 | Pholphat Inpirom | Radiologic Technologist | 3549 Castle Glen Dr Unit 128, San Diego, CA 92123-2432 | 2013-01-31 |
| 1083891550 | Ernel Daleva Raymundo | Radiologic Technologist | 6236 Vista Santa Clara, San Diego, CA 92154-5626 | 2008-01-28 |
| 1407038284 | Brian Joseph Granacki | Radiologic Technologist | 1450 Chalcedony St Apt 9, San Diego, CA 92109-2130 | 2007-12-03 |
| 1306263470 | Eric Lamarca | Radiologic Technologist | 4510 Executive Dr, Suite 125, San Diego, CA 92121-3021 | 2014-03-26 |
| 1336497544 | Janet Todd Johnson | Radiologic Technologist | 10737 Camino Ruiz, Suite 105, San Diego, CA 92126-2359 | 2012-08-20 |
| 1083845507 | Roy Anthony Brown | Radiologic Technologist | 5288 Eastgate Mall, San Diego, CA 92121-2835 | 2009-07-31 |
| 1881850709 | Sergio Hinojosa | Radiologic Technologist | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2008-07-30 |
| 1780869529 | George Jeffrey Reeves | Radiologic Technologist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2007-12-28 |
| 1871797761 | Forest Imaging, Inc. | Radiologic Technologist | 5288 Eastgate Mall, Suite A, San Diego, CA 92121-2835 | 2007-06-13 |
| 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.