TELEHEALTH CLINICAL SERVICES (NPI# 1215484720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215484720 |
| Entity Type | Organization |
| Organization Name | TELEHEALTH CLINICAL SERVICES |
| Practice Address |
2667 Camino Del Rio South #207 San Diego CA 92108-3765 |
| Mailing Address |
2667 Camino Del Rio S Ste 207 San Diego CA 92108-3765 |
| Practice Telephone | 6196946389 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Authorized Official Name | KAMERON IBRAHIM (PRESIDENT) |
| Authorized Official Telephone | 6196946389 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 2016010806 | CA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881058345 | Telehealth Clinical Services | Non-Pharmacy Dispensing Site | 6088 Bounty St, San Diego, CA 92120-2942 | 2016-04-11 |
| Street Address |
2667 CAMINO DEL RIO SOUTH #207 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-3765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154815025 | Alcam Medical Inc. | Prosthetic/Orthotic Supplier | 6244 El Cajon Blvd Ste 12, San Diego, CA 92115-3918 | 2018-06-14 |
| 1770931438 | A Greater Hope | Prosthetic/Orthotic Supplier | 2515 Camino Del Rio S Ste 242a, San Diego, CA 92108-3715 | 2016-06-02 |
| 1649638701 | Norell Prosthetics Orthotics Inc. | Prosthetic/Orthotic Supplier | 5466 Complex St Ste 207, San Diego, CA 92123-1124 | 2016-02-04 |
| 1194132795 | Annadon, Inc. | Prosthetic/Orthotic Supplier | 4079 Governor Dr, Suite 700, San Diego, CA 92122-2522 | 2014-07-15 |
| 1487945739 | Ruthiva LLC | Prosthetic/Orthotic Supplier | 10601 Tierrasanta Blvd, Ste G-188, San Diego, CA 92124-2616 | 2011-04-20 |
| 1952609661 | Active Life, Inc. | Prosthetic/Orthotic Supplier | 7910 Frost St Ste 320, San Diego, CA 92123 | 2011-03-03 |
| 1518147289 | Precision Medical, Inc. | Prosthetic/Orthotic Supplier | 4424 44th St, Suite 315, San Diego, CA 92115-4300 | 2007-11-09 |
| 1508911173 | J & J Artificial Limb & Brace LLC | Prosthetic/Orthotic Supplier | 11411 W Bernardo Ct., San Diego, CA 92127 | 2007-01-24 |
| 1508876442 | Carlos Valenzuela | Prosthetic/Orthotic Supplier | 4224 Ohio St, San Diego, CA 92104-1320 | 2006-08-09 |
| 1114943578 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 6997 Friars Rd, San Diego, CA 92108-1100 | 2006-07-15 |
| 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.