DR. AVA LOU CARMICHAEL CHASE (NPI# 1164496386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164496386 |
| Entity Type | Individual |
| Full Name | DR. AVA LOU CARMICHAEL CHASE |
| Other Name | AVA EAGLES |
| Credential | ARNP |
| Practice Address |
5454 El Cajon Blvd San Diego CA 92115-3621 |
| Practice Telephone | 6195152400 |
| Practice Fax Number | 6195469900 |
| Mailing Telephone | 6195152400 |
| Mailing Fax Number | 6195469900 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2017-12-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95000602 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 95000602 | 95000602 | 01 |
| Street Address |
5454 EL CAJON BLVD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92115-3621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013545185 | Yasmeen Alhomsy | Student in an Organized Health Care Education/Training Program | 5454 El Cajon Blvd, San Diego, CA 92115-3621 | 2020-04-01 |
| 1376171520 | Lucas Jame Burton | Student in an Organized Health Care Education/Training Program | 5454 El Cajon Blvd, San Diego, CA 92115-3621 | 2020-03-31 |
| 1073141586 | Michael James Prestgard-duke | Student in an Organized Health Care Education/Training Program | 5454 El Cajon Blvd, San Diego, CA 92115-3621 | 2020-03-30 |
| 1851929442 | Stephanie Wong | Student in an Organized Health Care Education/Training Program | 5454 El Cajon Blvd, San Diego, CA 92115-3621 | 2020-03-30 |
| 1447888284 | Joshua Daniel Bruhn | Student in an Organized Health Care Education/Training Program | 5454 El Cajon Blvd, San Diego, CA 92115-3621 | 2020-03-28 |
| 1255893368 | Raquel Cornejo Pina | Student in an Organized Health Care Education/Training Program | 5454 El Cajon Blvd, San Diego, CA 92115-3621 | 2019-04-05 |
| 1558823625 | Louie Humberto Rodriguez | Student in an Organized Health Care Education/Training Program | 5454 El Cajon Blvd, San Diego, CA 92115-3621 | 2019-04-05 |
| 1811459456 | Jonathan Melton Lish | Student in an Organized Health Care Education/Training Program | 5454 El Cajon Blvd, San Diego, CA 92115-3621 | 2019-04-03 |
| 1033671813 | Clare Margaret Mundy | Student in an Organized Health Care Education/Training Program | 5454 El Cajon Blvd, San Diego, CA 92115-3621 | 2019-04-02 |
| 1093276198 | Justin Thai | Student in an Organized Health Care Education/Training Program | 5454 El Cajon Blvd, San Diego, CA 92115-3621 | 2019-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313922 | Mayra Ailed Bugarin | Student in an Organized Health Care Education/Training Program | City Heights Family Health Center 5454, El Cajon Blvd, San Diego, CA 92115 | 2020-04-01 |
| 1093369878 | Chang Liu | Counselor | 3539 College Avenue, San Diego, CA 92115 | 2019-07-30 |
| 1689238560 | Donia Ahadian | Student in an Organized Health Care Education/Training Program | City Heights Family Health Center, 5454 El Cajon Blvd, San Diego, CA 92115 | 2019-04-26 |
| 1780157859 | James Michael Sites | Military Health Care Provider | Uss Shoup Ddg 86, San Diego, CA 92115 | 2019-01-10 |
| 1780163006 | Marcos Luis Sandoval | Case Manager/Care Coordinator | 6224 El Cajon Blvd, Suite 17, San Diego, CA 92115 | 2018-08-08 |
| 1437651981 | Phyllis Lynette Pryor | Licensed Vocational Nurse | 4974 El Cajon Blvd Suite A, San Diego, CA 92115 | 2018-03-01 |
| 1982125605 | Ellen Medical Transport | Non-emergency Medical Transport (VAN) | 4587 Winona Ave #5, San Diego, CA 92115 | 2017-07-03 |
| 1992225296 | P'okot LLC | Non-emergency Medical Transport (VAN) | 5511 Adelaide Ave, 26, San Diego, CA 92115 | 2017-06-27 |
| 1578019840 | Alfred Zygmunt Nowak | Specialist/Technologist | 6663 Reservoir Ln, San Diego, CA 92115 | 2016-08-28 |
| 1639534183 | Kalkaal Financial Enterprise, LLC. | Non-emergency Medical Transport (VAN) | 5055 Collwood Blvd., Unit 108, San Diego, CA 92115 | 2015-12-29 |
| Find all providers in zip 92115 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| 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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| 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.