ANA WONG PACIS (NPI# 1194323121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194323121 |
Entity Type | Individual |
Full Name | ANA WONG PACIS |
Credential | FNP |
Practice Address |
6991 Balboa Ave San Diego CA 92111-3447 |
Mailing Address |
1886 Eagle Rock Dr San Marcos CA 92069-3281 |
Practice Telephone | 8584968232 |
Practice Fax Number | 8584968234 |
Mailing Telephone | 7604843460 |
Enumeration Date | 2020-10-12 |
Last Update Date | 2020-10-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
95015621 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
6991 BALBOA AVE |
City | SAN DIEGO |
State | CA |
Zip Code | 92111-3447 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629020938 | Amy Nakatsuchi | Physical Therapist | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2006-05-16 |
1821612748 | Ashley Marie Martin | Registered Nurse | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2020-06-06 |
1376167387 | Nicole Diane Shy | Registered Nurse | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2020-06-05 |
1437773306 | Marie Doherty | Registered Nurse | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2020-06-05 |
1497379390 | Shiryn Rivo | Registered Nurse | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2020-06-05 |
1023632023 | Sandra Clare Hudson | Exclusive Provider Organization | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2020-06-04 |
1073137139 | Sandra Lee Oswald | Registered Nurse | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2020-06-04 |
1295359412 | Alicia Louise Began | Registered Nurse | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2020-06-03 |
1497379812 | Valentine Daniele Aljabi | Registered Nurse | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2020-06-01 |
1346864907 | Suzanne Webster-lowrie | Registered Nurse | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2020-05-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982220653 | Karen Elizabeth Mitchell | Registered Nurse | County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 | 2020-06-18 |
1912523804 | Access Medical, Inc. | Durable Medical Equipment & Medical Supplies | 4150 Convoy Street, Suite A, San Diego, CA 92111 | 2020-06-17 |
1154944551 | Mei Ling Milan Szeto | Student in an Organized Health Care Education/Training Program | 7917 Ostrow Street, Suite A, San Diego, CA 92111 | 2020-05-20 |
1346893831 | Leticia Isabel Peralta | Assistant Behavior Analyst | 563 Balboa Avenue. Number 521, San Diego, CA 92111 | 2019-07-23 |
1295204394 | Demetria Serfas | Behavioral Analyst | 563 Balboa Ave #521, San Diego, CA 92111 | 2018-11-19 |
1568981678 | Ross Psychology | Psychologist | 4883 Ronson Court, Suite K, San Diego, CA 92111 | 2017-09-11 |
1225554587 | Bianca Acosta | Technician, Other | 563 Balboa Ave. #521, San Diego, CA 92111 | 2017-08-18 |
1194240085 | Kazuhiro Kato | Dentist | 3707 Convoy St., San Diego, CA 92111 | 2017-08-11 |
1073038527 | Joanne Epps-yentz | Licensed Vocational Nurse | 7414 Mesa College Dr. Apt 47, San Diego, CA 92111 | 2017-08-06 |
1184158446 | Positive Behavior Supports Corp | Community/Behavioral Health | 563 Balboa Ave, 521, San Diego, CA 92111 | 2017-04-13 |
Find all providers in zip 92111 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710584008 | Venessa Beck | Nurse Practitioner | 903 Cardiff St, San Diego, CA 92114-5019 | 2020-10-08 |
1386107712 | Phillip Stephen Garibotto | Nurse Practitioner | 5090 Shoreham Pl Ste 209, San Diego, CA 92122-5935 | 2019-04-11 |
1013411016 | Virginia Zebley | Nurse Practitioner | 32547 Naval Miramar Medical Branch Clinic, San Diego, CA 92134-0001 | 2018-03-23 |
1528476256 | Julie Chrisco | Nurse Practitioner | 2365 Northside Dr, Suite 100, San Diego, CA 92108-2709 | 2014-07-25 |
1093130395 | Imelda Lim | Nurse Practitioner | 5795 Radio Ct, San Diego, CA 92114-6572 | 2014-02-23 |
1851505788 | Kathleen Finnigan-ryan | Nurse Practitioner | 4777 Imperial Ave, Lhs Student Health Center, San Diego, CA 92113-2071 | 2007-05-10 |
1184263733 | Adenike Awolola | Nurse Practitioner | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2019-12-31 |
1275019150 | Stephanie Scirocco | Nurse Practitioner | 7565 Mission Valley Rd, San Diego, CA 92108 | 2018-07-13 |
1699263269 | Lysianne Van Pham | Nurse Practitioner | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2018-04-28 |
1528578713 | Leslie Nobuko Gomez | Nurse Practitioner | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2017-10-03 |
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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.