NEW ENTRA CASA CORPORATION (NPI# 1114411386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114411386 |
| Entity Type | Organization |
| Organization Name | NEW ENTRA CASA CORPORATION |
| Other Organization Name | NEW ENTRA CASA |
| Practice Address |
3575 Pershing Ave San Diego CA 92104-3413 |
| Practice Telephone | 6192944526 |
| Practice Fax Number | 6192944526 |
| Mailing Telephone | 6192944526 |
| Mailing Fax Number | 6192944526 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2019-10-03 |
| Authorized Official Name | MISS KIMBERLY SUE DUIN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6192944526 |
| Authorized Official Credential | SUDCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 370083AN | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| New Entra Casa | Doing Business As Name - Organization |
| Street Address |
3575 PERSHING AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92104-3413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871772830 | Carlos Bp Mccray | Counselor | 3575 Pershing Ave, San Diego, CA 92104-3413 | 2007-10-26 |
| 1598363749 | Laurel Toy | Counselor | 3575 Pershing Ave, San Diego, CA 92104-3413 | 2020-10-10 |
| 1265066336 | Cynthia P Flores | Counselor | 3575 Pershing Ave, San Diego, CA 92104-3413 | 2020-02-27 |
| 1548894512 | Raymond Ritch | Counselor | 3575 Pershing Ave, San Diego, CA 92104-3413 | 2020-02-27 |
| 1376187542 | Melissa Carol Gonzalez | Counselor | 3575 Pershing Ave, San Diego, CA 92104-3413 | 2019-10-31 |
| 1417598137 | Kathy Malles-overcast | Counselor | 3575 Pershing Ave, San Diego, CA 92104-3413 | 2019-10-03 |
| 1508417320 | Ashley Orozco | Counselor | 3575 Pershing Ave, San Diego, CA 92104-3413 | 2019-09-23 |
| 1871144964 | Wendy Regina Johnson | Counselor | 3575 Pershing Ave, San Diego, CA 92104-3413 | 2019-09-20 |
| 1568013654 | Libia Bustos | Counselor | 3575 Pershing Ave, San Diego, CA 92104-3413 | 2019-09-20 |
| 1841841954 | Diane Luna | Counselor | 3575 Pershing Ave, San Diego, CA 92104-3413 | 2019-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750933610 | Hinderberger Dental Corporation | Dentist | 2050 El Cajon Boulevard, San Diego, CA 92104 | 2019-07-11 |
| 1912487265 | Graham Ashton Harris | Dentist | 2310 Craven Street, Bldg 3230, Fpo, AA 92104 | 2018-08-16 |
| 1700393485 | Christian Jacot | Occupational Therapy Assistant | 3128 Nile Street, San Diego, CA 92104 | 2018-01-04 |
| 1316452931 | Enrico Resurreccion Santos | Dental Hygienist | 2310 Craven St. Bldg. 3230, San Diego, CA 92104 | 2017-12-05 |
| 1164940789 | Robert Brian Damone | Acupuncturist | 3370 29th Street, San Diego, CA 92104 | 2017-09-04 |
| 1780100636 | Nicole Palacios | Counselor | 4170 Texas Street, Apt 1, San Diego, CA 92104 | 2017-08-22 |
| 1063938587 | Indie C Oliver Landrum | Case Manager/Care Coordinator | 2220 Broadway, San Diego, CA 92104 | 2017-08-16 |
| 1669829008 | Krystah Lynn Smith | Doula | 3370 Cherokee Ave, Unit 43, San Diego, CA 92104 | 2016-05-16 |
| 1063871853 | Holly Nicole Hinderberger | Dentist | 2050 El Cajon Blvd, San Diego, CA 92104 | 2016-02-22 |
| 1316336258 | Jorge E Talavera | Military Health Care Provider | 3875 Florida St Apt 2, San Diego, CA 92104 | 2015-01-15 |
| Find all providers in zip 92104 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
| 1730799115 | Mark Mashike Chiropractic | Clinic/Center | 12750 Carmel Country Rd Ste A111, San Diego, CA 92130-2159 | 2020-07-31 |
| 1326507591 | Shea Family Chiropractic Apc | Clinic/Center | 11770 Bernardo Plaza Ct Ste 351, San Diego, CA 92128-2426 | 2019-03-18 |
| 1205392172 | Bay Park Acupuncture, Inc. | Clinic/Center | 5080 Camino Del Arroyo, Ste. 129, San Diego, CA 92108-4100 | 2019-02-15 |
| 1922597624 | Hospital Cemesa Roatan Inc | Clinic/Center | 4025 Camino Del Rio S Ste 341, San Diego, CA 92108-4107 | 2018-05-08 |
| 1558876813 | South America Medical Network Inc | Clinic/Center | 4025 Camino Del Rio S Ste 330, San Diego, CA 92108-4107 | 2017-12-08 |
| 1871023515 | Abi P&o Inc | Clinic/Center | 6190 Fairmount Ave Ste A, San Diego, CA 92120-3428 | 2017-06-15 |
| 1548705908 | Free Flow Health Acupuncture | Clinic/Center | 4002 Park Blvd. Ste.e, San Diego, CA 92103 | 2016-12-21 |
| 1912452087 | Oria Health and Wellness | Clinic/Center | 16150 Big Springs Way, San Diego, CA 92127-2024 | 2016-08-18 |
| 1053707208 | Connecticut General Life Insurance Company | Clinic/Center | 8620 Spectrum Center Blvd, San Diego, CA 92123-1406 | 2015-04-14 |
| 1487042198 | Mina Habibian Dmd Phd Dental Corporation | Clinic/Center | 11385 Poway Rd Ste 103, San Diego, CA 92128-5600 | 2015-01-04 |
| 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.