STACY SUMMER CANTERO MALIMBAN (NPI# 1164072344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164072344 |
Entity Type | Individual |
Full Name | STACY SUMMER CANTERO MALIMBAN |
Credential | DC |
Practice Address |
1279 Dawson Dr Chula Vista CA 91911-7024 |
Practice Telephone | 8583028334 |
Mailing Telephone | 8583028334 |
Enumeration Date | 2019-09-19 |
Last Update Date | 2019-09-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 34527 | CA | Chiropractic Providers |
Street Address |
1279 DAWSON DR |
City | CHULA VISTA |
State | CA |
Zip Code | 91911-7024 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962011064 | Hfm Inc | Pharmacy | 750 Medical Center Court, Suite 8, Unit A, Chula Vista, CA 91911 | 2020-07-24 |
1659991198 | Cindy Way | Student in an Organized Health Care Education/Training Program | 1161 Bay Blvd. Ste. B Chula Vista,ca 91911, Chula Vista, CA 91911 | 2020-04-24 |
1083243455 | Uriel Angel Gonzalez | Student in an Organized Health Care Education/Training Program | 1161 Bay Boulevard B, Chula Vista, Chula Vista, CA 91911 | 2020-04-07 |
1083252464 | Denisse Patricia Macias | Dentist | 235 East Orange Avenue, Apartment E4, Chula Vista, CA 91911 | 2019-12-16 |
1952955494 | Jenifer Irene Wright | Counselor | 1180 Third Ave Suite C-3, Chula Vista, CA 91911 | 2019-08-01 |
1891357075 | Myriam Lourdes Scales | Counselor | 1172 3rd Ave Suite D1, Chula Vista, CA 91911 | 2019-07-08 |
1295228328 | Centro De Salud De La Comunidad De San Ysidro, Inc | Clinic/Center | 880 Third Ave Ste A, Chula Vista, CA 91911 | 2018-06-13 |
1902398589 | The Arc of San Diego | Day Training, Developmentally Disabled Services | 1280 Nolan Avenue, Chula Vista, CA 91911 | 2018-05-31 |
1003344292 | Jalitza Cardona | Peer Specialist | 853 3rd Ave, Suite C, Chula Vista, CA 91911 | 2017-06-01 |
1598138042 | Amy Nylund | Nurse Practitioner | 754 Medical Center Ct Ste 100, Chula Vista, CA 91911 | 2015-11-05 |
Find all providers in zip 91911 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932741519 | Eva Zingone | Chiropractor | 891 Kuhn Dr Ste 117, Chula Vista, CA 91914-3551 | 2019-10-15 |
1073096210 | Noha Scribner | Chiropractor | 855 Third Ave # 11001102, Chula Vista, CA 91911-1354 | 2018-09-13 |
1265980809 | Elizabeth Monique Zamudio | Chiropractor | 500 Telegraph Canyon Rd Unit A, Chula Vista, CA 91910-6482 | 2016-09-12 |
1700178837 | Jacqueline Grant | Chiropractor | 816 Paseo Del Rey, Chula Vista, CA 91910-7835 | 2011-05-09 |
1013215102 | Walker Walter Scott | Chiropractor | 861 Harold Pl, Suite 210, Chula Vista, CA 91914-4553 | 2011-03-14 |
1225368533 | Bryant Noel Zamora | Chiropractor | 642 3rd Ave Ste F, Chula Vista, CA 91910-5733 | 2010-01-08 |
1841436904 | Adolfo Gallegos | Chiropractor | 3132 Main St., Chula Vista, CA 91911 | 2008-12-19 |
1851565980 | Wachs Chiropractic Professional | Chiropractor | 359 3rd Ave Ste B, Chula Vista, CA 91910-3975 | 2008-04-18 |
1629259981 | Andrew William Stewart Duncan | Chiropractor | 815 3rd Ave Ste 201, Chula Vista, CA 91911-1309 | 2007-11-15 |
1558573444 | Anthony Diaz | Chiropractor | 680 Old Telegraph Canyon Rd, Ste. 104, Chula Vista, CA 91910-6552 | 2007-05-04 |
Find all providers in CHULA VISTA |
City | CHULA VISTA |
Zip Code | 91911 |
Please comment or provide details below to improve the information on STACY SUMMER CANTERO MALIMBAN.
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.