MICHAEL J SHORT (NPI# 1134354889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134354889 |
| Entity Type | Individual |
| Full Name | MICHAEL J SHORT |
| Practice Address |
3340 Kemper St Ste 105 San Diego CA 92110-4907 |
| Practice Telephone | 6195238121 |
| Practice Fax Number | 6195238742 |
| Mailing Telephone | 6195238121 |
| Mailing Fax Number | 6195238742 |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2015-04-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 373781000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
| 1336695865 | Michael Short | Pharmacist | Memorial Medical Center Heart Failure Cinic, 340 West Miller, Springfield, IL 62781-0001 | 2016-08-25 |
| 1184046815 | Michael Thomas Short | Military Health Care Provider | 15034 Avenida Montuosa, Apt B, San Diego, CA 92129-1442 | 2014-01-15 |
| 1700948072 | Michael Jonathan Short | Psychiatry & Neurology | 42505 Woodward Ave., Suite 103, Bloomfield Hills, MI 48304-5147 | 2006-12-14 |
| 1659430197 | Michael H Short | Acupuncturist | 72 Langley Rd, Suite 23, Newton Center, MA 02459-1960 | 2006-12-08 |
| 1568613669 | Michael Eric Short | Physical Therapist | 4160 Little York Rd, Suite 10, Dayton, OH 45414-5800 | 2008-10-07 |
| 1588766208 | Michael Carl Short | Counselor | 741 N Grand Ave, Waukesha, WI 53186-4820 | 2006-09-02 |
| 1386692614 | Michael Christopher Short | Family Medicine | 6300 W Parker Rd, Suite 129, Plano, TX 75093-8100 | 2006-05-05 |
| Street Address |
3340 KEMPER ST STE 105 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92110-4907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811554975 | Zachary Norris Lederman Mcbride | Counselor | 3340 Kemper St Ste 105, San Diego, CA 92110-4907 | 2019-05-23 |
| 1144885898 | Kevin Fitzgerald Nichols | Counselor | 3340 Kemper St Ste 105, San Diego, CA 92110-4907 | 2019-05-08 |
| 1700368099 | Tarina Kollars | Counselor | 3340 Kemper St Ste 105, San Diego, CA 92110-4907 | 2018-09-03 |
| 1093208811 | Brent H Testerman | Counselor | 3340 Kemper St Ste 105, San Diego, CA 92110-4907 | 2018-06-07 |
| 1740773464 | Katrina Howell | Counselor | 3340 Kemper St Ste 105, San Diego, CA 92110-4907 | 2018-06-07 |
| 1902309529 | Tezza Lydia Phillips | Counselor | 3340 Kemper St Ste 105, San Diego, CA 92110-4907 | 2018-03-09 |
| 1518469899 | Agnes G Cole | Counselor | 3340 Kemper St Ste 105, San Diego, CA 92110-4907 | 2018-03-02 |
| 1073041679 | Marie G Denis | Counselor | 3340 Kemper St Ste 105, San Diego, CA 92110-4907 | 2017-05-25 |
| 1639607237 | Jenny Nguyen | Case Manager/Care Coordinator | 3340 Kemper St Ste 105, San Diego, CA 92110-4907 | 2017-05-25 |
| 1609243542 | Jose Ruiz | Counselor | 3340 Kemper St Ste 105, San Diego, CA 92110-4907 | 2015-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021713 | Ruben Daniel Gutierrez | Marriage & Family Therapist | 4141 Pacific Coast Hwy, San Diego, CA 92110 | 2019-09-10 |
| 1548724081 | Denise Ellen Thompson | Counselor | 3255 Wings Street, San Diego, CA 92110 | 2019-01-29 |
| 1801378716 | Michelle Lisa Jean Crawford | Student in an Organized Health Care Education/Training Program | 3767 Central Avenue, San Diego, CA 92110 | 2018-09-06 |
| 1427539048 | Allison Turrell | Case Manager/Care Coordinator | 4930 Naples Street, San Diego, CA 92110 | 2018-08-22 |
| 1750872768 | Matthew Langworthy | Physical Therapist | 3405 Kenyon St Ste 212, San Diego, CA 92110 | 2018-05-24 |
| 1245748342 | The One Health Boutique, LLC | Chiropractor | 5350 Riley St, San Diego, CA 92110 | 2018-01-11 |
| 1437670155 | Monique A Fernandez | Counselor | 3132 Jefferson Street, San Diego, CA 92110 | 2017-07-03 |
| 1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| 1912352576 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 3880 Rosecrans Street, San Diego, CA 92110 | 2016-05-02 |
| Find all providers in zip 92110 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541463 | Serena Mink | Specialist | 100 Park Plz Apt 407, San Diego, CA 92101-6710 | 2020-06-02 |
| 1023648201 | Pamela Renea Crane | Specialist | 3237 Meade Ave, San Diego, CA 92116-4519 | 2020-01-16 |
| 1184199853 | Oliver Rakeem Taylor | Specialist | 1265 Angelus Ave, San Diego, CA 92114-3108 | 2018-10-09 |
| 1376040923 | Mark Edmond Rierson | Specialist | 2333 1st Ave Ste 106, San Diego, CA 92101-1538 | 2018-04-10 |
| 1790232635 | Cristina Zheng-castruita | Specialist | 9308 Babauta Rd, Apt. 62, San Diego, CA 92129-4922 | 2016-09-08 |
| 1689027955 | Neelam Agashe | Specialist | 3445 Lebon Dr Apt 1215, San Diego, CA 92122-5267 | 2016-07-21 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| 1952765935 | Jacqueline Morgan | Specialist | 9625 Black Mountain Rd Ste 300, San Diego, CA 92126-4598 | 2016-04-06 |
| 1710341862 | Comprehensive Medical Reporting Services | Specialist | 9040 Friars Rd., Ste. 410, San Diego, CA 92108 | 2016-04-05 |
| 1790150555 | Mahmood Nazari | Specialist | 6209 Lake Apopka Pl, 6209 Lake Apopka Place, San Diego, CA 92119-3520 | 2015-12-04 |
| 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.