VIVIANNA PENN (NPI# 1356865158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356865158 |
| Entity Type | Individual |
| Full Name | VIVIANNA PENN |
| Practice Address |
9400 Ruffin Ct San Diego CA 92123-5300 |
| Mailing Address |
9400 Ruffin Ct San Diego CA 92123 |
| Practice Telephone | 6196946972 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
9400 RUFFIN CT |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-5300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396847299 | Joan Sandra Gildin | Psychiatry & Neurology | 9400 Ruffin Ct, B, San Diego, CA 92123-5300 | 2006-09-01 |
| 1497361026 | Laura Anett Jimenez | Case Manager/Care Coordinator | 9400 Ruffin Ct, San Diego, CA 92123-5399 | 2020-09-18 |
| 1770104382 | Shaun Michael Higley | Marriage & Family Therapist | 9400 Ruffin Ct, San Diego, CA 92123-5300 | 2020-05-05 |
| 1841822350 | Jazmin Andrea Zavala | Case Manager/Care Coordinator | 9400 Ruffin Ct, San Diego, CA 92123-5300 | 2020-02-12 |
| 1679124267 | Katherine Winstead | Case Manager/Care Coordinator | 9400 Ruffin Ct, San Diego, CA 92123-5300 | 2019-09-25 |
| 1497309991 | Tanya Zazueta | Case Manager/Care Coordinator | 9400 Ruffin Ct, San Diego, CA 92123-5300 | 2019-08-01 |
| 1851943765 | Nancy Cooper | Registered Nurse | 9400 Ruffin Ct, San Diego, CA 92123-5399 | 2019-07-10 |
| 1639630577 | Mayra Rodriguez | Counselor | 9400 Ruffin Ct, San Diego, CA 92123-5300 | 2019-03-25 |
| 1598225948 | Ashley Lizbeth Lopez | Counselor | 9400 Ruffin Ct, San Diego, CA 92123-5300 | 2019-03-21 |
| 1205390820 | Stephanie Soto | Counselor | 9400 Ruffin Ct, San Diego, CA 92123-5300 | 2019-01-28 |
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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 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081376 | Annel Vianey Orduno | Counselor | 3517 Camino Del Rio South Suite 407, San Diego, CA 92108-4026 | 2020-10-23 |
| 1689280422 | Jason Vince Rather | Counselor | 333 Ledgewood Lane, San Diego, San Diego, CA 92114 | 2020-09-17 |
| 1851903751 | Shawn M Sta Ines | Counselor | 8775 Aero Dr Ste 230, San Diego, CA 92123-1779 | 2020-08-20 |
| 1821607599 | Tara Oneil | Counselor | 2383 Jefferson St Unit 3, San Diego, CA 92110-3007 | 2020-07-28 |
| 1881212520 | Ureclaim Therapy | Counselor | 6331 Nancy Ridge Dr # 209, San Diego, CA 92121-6204 | 2020-07-09 |
| 1326664731 | Andressa Gomes Giacomini | Counselor | 6219 Stanley Ave Apt 7, San Diego, CA 92115-4048 | 2020-06-22 |
| 1407480726 | Autumn Weidman | Counselor | 2930 Cowley Way Unit 303, San Diego, CA 92117-6859 | 2020-02-25 |
| 1881233708 | Ramin Movafaghi | Counselor | 3737 Murphy Canyon Rd, San Diego, CA 92123-4454 | 2019-12-23 |
| 1326696477 | Jennifer Erin Reimer | Counselor | 7568 Charmant Dr Apt 1917, San Diego, CA 92122-5018 | 2019-09-02 |
| 1316595739 | Ashley Champa | Counselor | 7954 Dagget St, San Diego, CA 92111-2306 | 2019-08-28 |
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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.