ADVANCED HEALTHCARE CENTER APC (NPI# 1255785648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255785648 |
| Entity Type | Organization |
| Organization Name | ADVANCED HEALTHCARE CENTER APC |
| Practice Address |
10737 Camino Ruiz Suite 114 San Diego CA 92126-2359 |
| Mailing Address |
1934 Via Casa Alta La Jolla CA 92037-5730 |
| Practice Telephone | 8585789600 |
| Practice Fax Number | 8585789065 |
| Mailing Telephone | 8585789600 |
| Mailing Fax Number | 8585789065 |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2016-04-21 |
| Authorized Official Name | DEENA S TAJRAN (OWNER) |
| Authorized Official Telephone | 8585789600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | A55154 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
10737 CAMINO RUIZ SUITE 114 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92126-2359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154317022 | Tung N Lai | Internal Medicine | 10737 Camino Ruiz, Suite 200, San Diego, CA 92126 | 2005-09-26 |
| 1295193233 | Operation Samahan Inc. | Clinic/Center | 10737 Camino Ruiz, Suite 235, San Diego, CA 92126-2359 | 2016-02-05 |
| 1942665252 | Justine Nicole Palma | Nurse Practitioner | 10737 Camino Ruiz, Medical Mall #220, San Diego, CA 92126-2359 | 2015-12-31 |
| 1821497066 | Gabriel T Fabella Md Inc | Internal Medicine | 10737 Camino Ruiz, Suite 115, San Diego, CA 92126-2359 | 2014-08-13 |
| 1336497544 | Janet Todd Johnson | Radiologic Technologist | 10737 Camino Ruiz, Suite 105, San Diego, CA 92126-2359 | 2012-08-20 |
| 1467711903 | Gita Appelbaum | Nurse Practitioner | 10737 Camino Ruiz, San Diego, CA 92126-2539 | 2012-05-03 |
| 1811253248 | Operation Samahan Medical Clinic | Clinical Nurse Specialist | 10737 Camino Ruiz, San Diego, CA 92126-2359 | 2012-04-10 |
| 1992933113 | Syeeda Rahman | Nutritionist | 10737 Camino Ruiz, Suite 235, San Diego, CA 92126-2359 | 2009-06-25 |
| 1356510242 | Operation Samahan, Inc. | Non-Pharmacy Dispensing Site | 10737 Camino Ruiz, 235, San Diego, CA 92126-2359 | 2008-02-25 |
| 1649465816 | Gary H Pulsipher | Dentist | 10737 Camino Ruiz, Suite 210, San Diego, CA 92126-2359 | 2007-09-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730741299 | Eye Connection Optometry, Inc | Optometrist | 9516 Miramar Road, San Diego, CA 92126 | 2019-07-05 |
| 1811450935 | Anne Phabmixay | Student in an Organized Health Care Education/Training Program | Douglas Young Wellness Center, 10717 Camino Ruiz Suite 207, San Diego, CA 92126 | 2019-04-08 |
| 1679035588 | Emily Nguyen | Registered Nurse | 8210 Elston Place, San Diego, CA 92126 | 2019-04-01 |
| 1558832139 | Dana Douglas-hiley | Speech-Language Pathologist | 9606 Tierra Grande St., Suite 107, San Diego, CA 92126 | 2018-12-08 |
| 1275022873 | Breeann Nicole Poulson | Speech-Language Pathologist | 9466 Black Mountain Rd Suite 100, San Diego, CA 92126 | 2018-05-09 |
| 1659878882 | My Phuong Thi Phan | Registered Nurse | 10938 Hyades Way, San Diego, CA 92126 | 2018-04-13 |
| 1083132153 | Ruth Tamar Morales | Occupational Therapist | Children's Ot Services, Inc, 9606 Tierra Grande St., #104, San Diego, CA 92126 | 2017-09-08 |
| 1487184339 | Chelsea Irene Johnson | Marriage & Family Therapist | 8670 New Salem St. Unit 106, San Diego, CA 92126 | 2017-06-14 |
| 1336508506 | Brenda L. Bebal | Nurse Practitioner | 10737 Camino Ruiz; Ste 235, Operation Samahan Health Clinic, San Diego, CA 92126 | 2016-02-17 |
| 1700245099 | Naval Medical Center San Diego | Pharmacy | Mcas Miramar Exchange Pharmacy, Bldg 2660, San Diego, CA 92126 | 2016-02-16 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316494768 | Samantha Berg | Obstetrics & Gynecology | 9339 Genesee Ave Ste 220, San Diego, CA 92121-2121 | 2016-09-01 |
| 1326495276 | Elizabeth Anne Coulter | Obstetrics & Gynecology | 200 West Arbor Drive, Mc8433, Ucsd Residency Office, San Diego, CA 92103 | 2016-05-20 |
| 1962889121 | Reproductive Sciences Medical Center | Obstetrics & Gynecology | 3661 Valley Centre Dr, Suite 100, San Diego, CA 92130-3321 | 2015-04-27 |
| 1134515695 | Tiffani Phan | Obstetrics & Gynecology | 550 Washington St Ste 331, San Diego, CA 92103-2227 | 2015-04-11 |
| 1437544251 | Lindsey Ann Burnett | Obstetrics & Gynecology | 200 West Arbor Drive, Mailcode 8433, University of California San Diego, San Diego, CA 92103 | 2015-03-30 |
| 1811240906 | Charles Hamrang | Obstetrics & Gynecology | 3250 Bunker Hill, San Diego, CA 92117 | 2012-10-26 |
| 1780955328 | Gerald M Spector | Obstetrics & Gynecology | 4045 Couts St, San Diego, CA 92103-1501 | 2012-01-12 |
| 1841578572 | L Dale Lapp M D Inc | Obstetrics & Gynecology | 4060 4th Ave Ste 640, San Diego, CA 92103-2118 | 2011-07-29 |
| 1114221603 | Leroy Albert Miller | Obstetrics & Gynecology | 2359 Juan Street, San Diego, CA 92103 | 2010-12-27 |
| 1154635415 | Robert J Santella, Md. Inc. | Obstetrics & Gynecology | 4531 College Ave, San Diego, CA 92115-4010 | 2010-07-28 |
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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.