JULIA VYACHESLAVOVNA SOUVOROVA (NPI# 1114361029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114361029 |
Entity Type | Individual |
Full Name | JULIA VYACHESLAVOVNA SOUVOROVA |
Credential | D.P.M. |
Practice Address |
345 F St Ste 100 Chula Vista CA 91910-2632 |
Practice Telephone | 6194273481 |
Practice Fax Number | 6194207807 |
Mailing Telephone | 6194273481 |
Mailing Fax Number | 6194207807 |
Enumeration Date | 2013-04-22 |
Last Update Date | 2016-10-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
5305 | CA | Podiatric Medicine & Surgery Service Providers |
Street Address |
345 F ST STE 100 |
City | CHULA VISTA |
State | CA |
Zip Code | 91910-2632 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396740072 | John Angus Chisholm | Podiatrist | 345 F St, Ste 100, Chula Vista, CA 91910-2632 | 2005-06-17 |
1700232592 | Kim Carolyn T. Huynh | Nurse Practitioner | 345 F St, 110, Chula Vista, CA 91910-2626 | 2016-05-11 |
1689041055 | South Bay Foot & Ankle Specialists, Inc. | Podiatrist | 345 F St, Ste 100, Chula Vista, CA 91910-2626 | 2015-09-01 |
1518149186 | Rosa Carolina Bautista | Nurse Practitioner | 345 F St, Suite 110, Chula Vista, CA 91910-2626 | 2007-12-05 |
1285834796 | Nazli Keri Dds Apc | Dentist | 345 F St, Ste 260, Chula Vista, CA 91910 | 2007-07-23 |
1578777272 | Mojdah Michelle Akhavan | Dentist | 345 F St, #190, Chula Vista, CA 91910-2626 | 2007-05-10 |
1659584217 | John Joseph Oneill II | Dentist | 345 F St, Ste 290, Chula Vista, CA 91910-2649 | 2007-05-08 |
1487878583 | Jon Douglas Dickie | Dentist | 345 F St, Suite 180, Chula Vista, CA 91910-2626 | 2007-04-12 |
1801918511 | Laura Mary Toledo | Nurse Practitioner | 345 F St, Suite 110, Chula Vista, CA 91910-2626 | 2007-04-04 |
1538208467 | Aileen L Arce | Dentist | 345 F St, Ste 140, Chula Vista, CA 91910-2626 | 2007-02-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477194264 | Joshua Maurice Hayden | Dental Hygienist | 678 Thrid Ave, Chula Vista, CA 91910 | 2019-10-02 |
1255980504 | Samantha Bernaldo | Dental Hygienist | 668 Third Ave, Chula Vista, CA 91910 | 2019-09-10 |
1073179529 | Roshni Kakaiya | Student in an Organized Health Care Education/Training Program | 435 H Street, Cv112, Chula Vista, CA 91910 | 2019-05-09 |
1598232506 | Naria Le Mire | Dietitian, Registered | 288 Broadway #141a, Chula Vista, CA 91910 | 2018-10-28 |
1730676727 | Pei Chi Chain | Optometrist | 324 F Street., Chula Vista, CA 91910 | 2018-04-16 |
1104332741 | Teodoro David Pena | Dentist | 510 Broadway Ste 4-5, Chula Vista, CA 91910 | 2017-12-19 |
1538684865 | Camille Cooke | Counselor | 430 F. Street, Chula Vista, CA 91910 | 2017-08-08 |
1184146094 | Alexandra Lynn Scovill | Optometrist | Castillejos Eye Institute Medical Group, 342 F Street, Chula Vista, CA 91910 | 2017-07-12 |
1396270583 | Tam Trieu | Pharmacist | 555 Broaway Suite 1054, Chula Vista, CA 91910 | 2017-04-25 |
1548792815 | Sabrina Owens | Family Medicine | 499 H Street Cv112, Chula Vista, CA 91910 | 2017-03-28 |
Find all providers in zip 91910 |
Taxonomy Code | 213ES0131X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831143452 | David Silvio Mazza | Podiatrist | 276 Church Ave, Suite A, Chula Vista, CA 91910-2729 | 2006-05-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801411988 | David W. Hellewell, D.p.m. Inc | Podiatrist | 17822 Beach Blvd Ste 407, Huntington Beach, CA 92647-7511 | 2020-06-15 |
1265053672 | Elite Atlantic Foot & Ankle Clinic | Podiatrist | 925 S Atlantic Blvd Ste 102, Monterey Park, CA 91754-1063 | 2020-04-27 |
1467099085 | Berkeley Foot and Ankle Podiatry Group, Inc | Podiatrist | 106 La Casa Via Ste 270, Walnut Creek, CA 94598-3015 | 2019-12-02 |
1164902565 | Optimum Podiatry Services Inc | Podiatrist | 365 Hawthorne Ave Ste 202, Oakland, CA 94609-3114 | 2018-08-16 |
1427536697 | Rodeo Surgical Institute Inc. | Podiatrist | 421 N Rodeo Dr Ste T13, Beverly Hills, CA 90210-4500 | 2018-07-31 |
1902340201 | San Mateo Foot and Ankle Care Inc | Podiatrist | 101 S San Mateo Dr Ste 212, San Mateo, CA 94401-3843 | 2016-12-06 |
1285018986 | Platinum Health Center | Podiatrist | 1125 E 17th St Ste E101, Santa Ana, CA 92701 | 2015-07-13 |
1114211786 | Ross Eldon Biederman | Podiatrist | 140 Wyoming Street, June Lake, CA 93529 | 2011-06-01 |
1487885414 | Eugene Marvin Krank Jr. | Podiatrist | 4358 W 136th St, #d, Hawthorne, CA 90250-7127 | 2009-08-08 |
1861629248 | Tanya Panichpakdee | Podiatrist | 357 Calle Marseille, Long Beach, CA 90814-3219 | 2009-06-12 |
Find all providers with the same taxonomy |
City | CHULA VISTA |
Zip Code | 91910 |
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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.