MR. SCOTT DAVID INTRABARTOLO (NPI# 1285828517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285828517 |
| Entity Type | Individual |
| Full Name | MR. SCOTT DAVID INTRABARTOLO |
| Credential | CRT |
| Practice Address |
11995 Mountain Pass Rd San Diego CA 92128-5261 |
| Mailing Address |
Po Box 1564 Poway CA 92074-1564 |
| Practice Telephone | 8586798770 |
| Mailing Telephone | 8586798770 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-08-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | RHF48582 | CA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
11995 MOUNTAIN PASS RD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92128-5261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
| 1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
| 1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
| 1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
| 1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
| 1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
| 1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
| Find all providers in zip 92128 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083034532 | Thomas Barrett Helms Jr. | Radiologic Technologist | 10365 Holder Way, San Diego, CA 92124-2512 | 2014-04-23 |
| 1922320951 | Amisha Vishal Bodiwala | Radiologic Technologist | 11075 Camino Playa Carmel, San Diego, CA 92124-4142 | 2010-02-17 |
| 1609046432 | Carolyn Lababit Rodriguez | Radiologic Technologist | 34101 Fraenholt Avenue, Naval School of Health Sciences, San Diego, CA 92134-5291 | 2008-03-07 |
| 1962688259 | Tony G Tran | Radiologic Technologist | 10152 Clauser St, San Diego, CA 92126-5630 | 2008-01-16 |
| 1184808826 | Jason G Hyslop | Radiologic Technologist | 6699 Beadnell Way, 237, San Diego, CA 92117-5125 | 2007-12-18 |
| 1730402850 | Philip C Vaughn II | Radiologic Technologist | 3851 Rosecrans St, San Diego, CA 92110-3134 | 2010-03-03 |
| 1306001730 | Francisco Morales | Radiologic Technologist | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2008-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303665 | Jeffrey Chan | Radiologic Technologist | 2735 Ulloa St, San Francisco, CA 94116-2321 | 2020-07-17 |
| 1275098675 | California Mobile Imaging LLC | Radiologic Technologist | 3649 W Beechwood Ave Ste 106, Fresno, CA 93711-0693 | 2019-02-10 |
| 1669960068 | Tracey Saucier | Radiologic Technologist | 6342 Fallbrook Ave Ste 102, Woodland Hills, CA 91367-1613 | 2018-05-01 |
| 1972090652 | Souk Luangsrinhotha | Radiologic Technologist | 5021 Rosso Ct, Salida, CA 95368-9066 | 2018-04-18 |
| 1013454123 | Thanhtrang Dinh | Radiologic Technologist | 1725 W 17th St Rm 101e, Santa Ana, CA 92706-2316 | 2017-01-26 |
| 1427401512 | Ashim Haydar Ali | Radiologic Technologist | 8900 Thornton Rd Ste 24, Stockton, CA 95209-1820 | 2016-07-13 |
| 1952758963 | Kevin Schuman | Radiologic Technologist | 8042 Tuscany St, Fontana, CA 92336-3800 | 2016-05-19 |
| 1154782373 | Damian Dejesus | Radiologic Technologist | 2204 Auberry Ave, Bakersfield, CA 93304-7268 | 2016-03-15 |
| 1487023149 | Yasuhide Mikami | Radiologic Technologist | 710 E Keats Ave, Fresno, CA 93710-7022 | 2015-09-23 |
| 1518334630 | Hun Choe | Radiologic Technologist | 41 Muirfield, Trabuco Canyon, CA 92679-3421 | 2015-08-24 |
| Find all providers with the same taxonomy | ||||
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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.