JOSHUA REYNOLDS (NPI# 1407254402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407254402 |
| Entity Type | Individual |
| Full Name | JOSHUA REYNOLDS |
| Practice Address |
7155 Mission Gorge Rd San Diego CA 92120-1130 |
| Practice Telephone | 8583000470 |
| Mailing Telephone | 8583000470 |
| Mailing Fax Number | 8583000461 |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2019-03-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171M00000X | Case Manager/Care Coordinator | CA | Other Service Providers | |
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356702450 | Joshua Reynolds | Speech-Language Pathologist | 4119 Wimbledon Cir, Lawrence, KS 66047-2012 | 2016-03-16 |
| 1962003095 | Joshua Reynolds | Physical Therapist | 1010 Monarch St Ste 150, Lexington, KY 40513-1892 | 2020-11-04 |
| 1285247791 | Joshua Reynolds | Social Worker | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-08-25 |
| 1538669197 | Joshua Mark Reynolds | Obstetrics & Gynecology | 2333 Biddle Ave, Wyandotte, MI 48192 | 2018-02-20 |
| 1285029603 | Joshua Reynolds | Emergency Medicine | 5126 Hospital Dr Ne, Covington, GA 30014 | 2015-04-02 |
| 1326487042 | Joshua R Reynolds | Anesthesiology | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2013-06-15 |
| 1073863213 | Joshua J Reynolds | Physician Assistant | 4545 E 9th Ave Ste 670, Denver, CO 80220-3918 | 2012-09-14 |
| 1881827749 | Joshua Bruce Reynolds | Counselor | 18490 Suquamish Way Ne Unit 107, Suquamish, WA 98392-9533 | 2009-08-26 |
| 1316106206 | Joshua C Reynolds | Emergency Medicine | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2008-06-05 |
| 1134135049 | Joshua Reynolds | Physical Therapist | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2006-07-31 |
| Street Address |
7155 MISSION GORGE RD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120-1130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205941085 | Darlene Beth Schaeffer | Physical Therapist | 7155 Mission Gorge Rd, San Diego, CA 92120-1130 | 2006-08-20 |
| 1194110981 | Angelica Garcia | Case Manager/Care Coordinator | 7155 Mission Gorge Rd, San Diego, CA 92120-1130 | 2015-03-30 |
| 1386036770 | Vivian Quintero | Case Manager/Care Coordinator | 7155 Mission Gorge Rd, San Diego, CA 92120-1130 | 2015-02-23 |
| 1982002358 | Ansley Curtis | Marriage & Family Therapist | 7155 Mission Gorge Rd, San Diego, CA 92120-1130 | 2014-12-16 |
| 1528465044 | Emelia Pine | Counselor | 7155 Mission Gorge Rd, San Diego, CA 92120-1130 | 2014-11-26 |
| 1124425962 | Janqueshia Gay | Case Manager/Care Coordinator | 7155 Mission Gorge Rd, San Diego, CA 92120-1130 | 2014-11-21 |
| 1730583576 | Amanda Rose Flores | Counselor | 7155 Mission Gorge Rd, San Diego, CA 92120-1130 | 2014-10-21 |
| 1871994954 | Megan A. Clarke-dimaquibo | Registered Nurse | 7155 Mission Gorge Rd, San Diego, CA 92120-1130 | 2014-09-09 |
| 1609277714 | Kaitlin Elizabeth Kyle | Case Manager/Care Coordinator | 7155 Mission Gorge Rd, San Diego, CA 92120-1130 | 2014-09-08 |
| 1992118749 | Rochelle Johnson | Licensed Vocational Nurse | 7155 Mission Gorge Rd, San Diego, CA 92120-1130 | 2014-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
| 1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
| 1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
| 1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
| 1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
| 1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
| 1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
| 1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
| Find all providers in zip 92120 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043826753 | Dayjahnay Shantay Davenport | Peer Specialist | 3347 Lincoln Ave, San Diego, CA 92104-2111 | 2020-09-17 |
| 1427683101 | Gerardo Castro | Peer Specialist | 5555 Reservoir Dr # 204-a, San Diego, CA 92120-5134 | 2020-03-03 |
| 1487298840 | Garrett Ives | Peer Specialist | 2909 Keats St Apt 7, San Diego, CA 92106-2345 | 2019-10-29 |
| 1144882622 | Melissa Ratsamy | Peer Specialist | 286 Euclid Ave Project Enable, #102, San Diego, CA 92114 | 2019-07-03 |
| 1699258459 | Talya Donahue | Peer Specialist | 1045 Ninth Ave, San Diego, CA 92101 | 2018-09-07 |
| 1811434467 | Deborah Sue Lynn | Peer Specialist | 140 W. Arbor Dr., Ucsd Gifford Outpatient Clinic, San Diego, CA 92103-2421 | 2017-01-20 |
| 1023463163 | Miguel Pablo Surposa | Peer Specialist | 5711 Bolivar St, San Diego, CA 92139-1617 | 2016-04-26 |
| 1376140590 | Leon Samuel Mancilla | Peer Specialist | 5555 Reservoir Dr, San Diego, CA 92120-5134 | 2020-10-01 |
| 1982210092 | Nicole Lynn Iwan | Peer Specialist | 3491 Kurtz St Ste 150, San Diego, CA 92110-4430 | 2020-09-23 |
| 1962014001 | Paulina Alvarado | Peer Specialist | 6160 Mission Gorge Rd, San Diego, CA 92120-3410 | 2020-08-19 |
| 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.