MRS. KAREN ANN HVIZDZAK (NPI# 1295231371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295231371 |
| Entity Type | Individual |
| Full Name | MRS. KAREN ANN HVIZDZAK |
| Other Name | MS. KAREN ANN MACKALL |
| Credential | NP |
| Practice Address |
2496 Bauer Road San Diego CA 92145 |
| Mailing Address |
2496 Bauer Road San Diego CA 92145-2310 |
| Practice Telephone | 6195779973 |
| Mailing Telephone | 6195779973 |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2019-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95009159 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 171000000X | Military Health Care Provider | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 363LF0000X | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3219 Mobley St, San Diego, CA 921232310 | 9254133319 | |
| 8831 Villa La Jolla Dr, La Jolla, CA 92037 | 8584574480 |
| Street Address |
2496 BAUER ROAD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881665453 | John C Sims | Ophthalmology | 2496 Bauer Road, Mcas Miramar, San Diego, CA 92145 | 2006-01-31 |
| 1942704713 | Sarah Rene Liggett | General Practice | 2496 Bauer Road, San Diego, CA 92126 | 2018-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245754241 | Joy Lee Kim | Dentist | Mcas Miramar Dental Clinic, Fpo, AA 92145 | 2017-08-01 |
| 1558500090 | Sean Patrick Overlie | Military Health Care Provider | 2496 Bauer Rd., Bmc Mcas Miramar, San Diego, CA 92145 | 2009-02-06 |
| 1053584540 | Craig Charles Rosario | Military Health Care Provider | Mcas Bmc Miramar, Bldg 2496, Bauer Rd., San Diego, CA 92145 | 2008-04-07 |
| 1710026059 | Breanne Williams Reid | Dentist | 19871 Mitcher Way, San Diego, CA 92145 | 2007-02-05 |
| 1821143165 | Enrico L Sarmiento | Physician Assistant | Bldg 2496 Bauer Rd, Bmc Miramar, San Diego, CA 92145 | 2007-01-25 |
| 1275684276 | Alexander Byron Galifianakis | Preventive Medicine | Mcas Miramar, Hmh-466, San Diego, CA 92145 | 2007-01-16 |
| 1407939408 | Frank J Bogni IIi | General Practice | Branch Medical Clinic Mcas Miramar, Apo, AA 92145 | 2006-10-23 |
| 1578531687 | Amber Nicole Floyd | Military Health Care Provider | Branch Medical Clinic Miramar, 2496 Mitchner Wy, San Diego, CA 92145 | 2006-03-14 |
| 1811964844 | Armando Gonzalez | Military Health Care Provider | Macg-38 Medical, San Diego, CA 92145 | 2006-03-08 |
| 1093787244 | Denise Elizabeth Coyle | Family Medicine | Miramar Family Practice, Mcas Miramar, San Diego, CA 92145 | 2006-02-02 |
| Find all providers in zip 92145 | ||||
| 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 |
| 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.