JENNIFER OBANA


Address: 8765 Aero Dr Ste 130, San Diego, CA 92123-1767
Phone: 8585410181

JENNIFER OBANA (NPI# 1114368628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114368628
Entity Type Individual
Full Name JENNIFER OBANA
Credential CRNP
Practice Address 8765 Aero Dr Ste 130
San Diego
CA 92123-1767
Mailing Address 8765 Aero Dr
Ste 130
San Diego
CA 92123-1767
Practice Telephone 8585410181
Mailing Telephone 8585410181
Mailing Fax Number 8586379035
Enumeration Date 2013-07-12
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN654334 PA Nursing Service Providers
N 163W00000X Registered Nurse 95022822 CA Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
95006472 CA Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
SP013818 PA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
44 W 21st St, Northampton, PA 180671221 6102610999 6102612187

Office Location

Street Address 8765 AERO DR STE 130
City SAN DIEGO
State CA
Zip Code 92123-1767

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982814638 Debbie Frogozo Physician Assistant 8765 Aero Dr Ste 130, San Diego, CA 92123-1767 2007-05-23
1841851474 San Diego Specialists Kenneth J Roth Gen Ptr Specialist 8765 Aero Dr Ste 130, San Diego, CA 92123-1767 2019-06-25
1144779059 Amianne Huffman Physician Assistant 8765 Aero Dr Ste 130, San Diego, CA 92123-1767 2016-10-04
1174900823 Grant Meyer Internal Medicine 8765 Aero Dr Ste 130, San Diego, CA 92123-1767 2015-05-01
1407295033 Linda Huynh Internal Medicine 8765 Aero Dr Ste 130, San Diego, CA 92123-1767 2013-06-17
1326366121 Michelle Liske Internal Medicine 8765 Aero Dr Ste 130, San Diego, CA 92123-1767 2010-05-04
1124206263 Madhusree Singh Internal Medicine 8765 Aero Dr Ste 130, San Diego, CA 92123-1767 2008-01-31
1992996375 Natsurang Chongkrairatanakul Internal Medicine 8765 Aero Dr Ste 130, San Diego, CA 92123 2007-08-09

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982203097 Rebecca Dolores Garcia Nurse Practitioner 2440 Curlew St, San Diego, CA 92101-1327 2020-10-20
1003415472 Ryanleo Flores Nurse Practitioner 2017 1st Avenue, Suite 301, San Diego, CA 92101 2020-10-18
1083226245 Allison Floyd Nurse Practitioner 3652 Texas St, San Diego, CA 92104-4044 2020-08-19
1386255248 Helen Hyeyoung Hong Nurse Practitioner 5140 Caminito Exquisito, San Diego, CA 92130-2852 2020-08-13
1134747595 Dawn Elyse Rose Nurse Practitioner 8260 Mira Mesa Blvd Ste A, San Diego, CA 92126-2662 2020-07-10
1982232591 John Meier Nurse Practitioner 3745 Riviera Dr Apt 10, San Diego, CA 92109-6661 2020-03-30
1013543008 Alex Choi Mara Nurse Practitioner 5248 Zephyr Ln Unit 24, San Diego, CA 92120-2749 2020-03-21
1669005021 Katlyn Ann Hartman Nurse Practitioner 1951 4th Ave, San Diego, CA 92101-2374 2020-02-13
1245876101 Katherine Baber Nurse Practitioner 3671 Fifth Ave, San Diego, CA 92103-4218 2019-11-25
1922644095 Taiko Harris Nurse Practitioner 13592 Bolero Way, San Diego, CA 92130-7006 2019-11-22
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Competitor

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City SAN DIEGO
Zip Code 92123

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Dataset Information

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.

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