SAN DIEGO INSTITUTE FOR PREVENTION AND WELLNESS (NPI# 1306042668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306042668 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO INSTITUTE FOR PREVENTION AND WELLNESS |
| Practice Address |
8008 Frost St Suite 406 San Diego CA 92123-4205 |
| Practice Telephone | 8585059438 |
| Practice Fax Number | 8586130373 |
| Mailing Telephone | 8585059438 |
| Mailing Fax Number | 8586130373 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROSALYN PTRICE BAXTER-JONES (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8585059438 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | G54625 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
8008 FROST ST SUITE 406 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-4205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659378990 | Julie Renee Ohayon | Surgery | 8008 Frost St, Ste 403, San Diego, CA 92123-4205 | 2005-07-01 |
| 1528444171 | Lindsey Urband Md Corp | Orthopaedic Surgery | 8008 Frost St, Suite 403, San Diego, CA 92123-4205 | 2015-08-05 |
| 1710238811 | Ann Billones | Physician Assistant | 8008 Frost St, Suite 106, San Diego, CA 92123-4205 | 2012-09-28 |
| 1376803254 | San Diego Center for Oral and Maxillofacial Surgery | Dentist | 8008 Frost St, Suite 311, San Diego, CA 92123-4205 | 2012-05-24 |
| 1508169335 | Christine Michelle Szafranic | Physician Assistant | 8008 Frost St, Suite 106, San Diego, CA 92123-4205 | 2010-12-16 |
| 1316247281 | Sharp Rees-stealy Medical Group Inc | Orthopaedic Surgery | 8008 Frost St, Suite 106, San Diego, CA 92123 | 2010-10-26 |
| 1740422997 | Lindsey Starr Urband | Orthopaedic Surgery | 8008 Frost St, Suite 403, San Diego, CA 92123-4205 | 2009-04-02 |
| 1063658375 | M. Hertzel Soumekh M D A Professional Corporation | Neurological Surgery | 8008 Frost St, Suite 401, San Diego, CA 92123-4205 | 2008-12-17 |
| 1023273307 | Jesus H. Mendoza | Orthotist | 8008 Frost St, Suite 407, San Diego, CA 92123-4205 | 2008-07-25 |
| 1407036502 | Tarkan Sidal | Dentist | 8008 Frost St, Suite 311, San Diego, CA 92123-4205 | 2007-11-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
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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.