RANDY GIORGIO MUNGUIA (NPI# 1407386972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407386972 |
| Entity Type | Individual |
| Full Name | RANDY GIORGIO MUNGUIA |
| Credential | RANDY |
| Practice Address |
9089 Clairemont Mesa Blvd Ste 200 San Diego CA 92123-1225 |
| Mailing Address |
17709 Cortner Ave Cerritos CA 90703-8119 |
| Practice Telephone | 8007876787 |
| Mailing Telephone | 17144581778 |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-06-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | 65813 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9089 CLAIREMONT MESA BLVD STE 200 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-1225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679653059 | Nancy Smith Cox | Physical Therapist | 9089 Clairemont Mesa Blvd Ste 200, San Diego, CA 92123-1225 | 2006-10-17 |
| 1144721945 | Briana Whitney Fields | Physical Therapist | 9089 Clairemont Mesa Blvd Ste 200, San Diego, CA 92123-1225 | 2018-02-27 |
| 1487177655 | Valerie Washington | Radiology | 9089 Clairemont Mesa Blvd Ste 200, San Diego, CA 92123-1225 | 2017-07-19 |
| 1073049292 | Brittany Won | Occupational Therapist | 9089 Clairemont Mesa Blvd Ste 200, San Diego, CA 92123-1225 | 2017-05-09 |
| 1831548700 | Samuel David Gabrek | Physical Therapist | 9089 Clairemont Mesa Blvd Ste 200, San Diego, CA 92123-1225 | 2016-06-10 |
| 1831545664 | Janise Estrella Ojeda | Occupational Therapist | 9089 Clairemont Mesa Blvd Ste 200, San Diego, CA 92123-1225 | 2016-05-11 |
| 1023486412 | Tami Graham-hodge | Physical Therapy Assistant | 9089 Clairemont Mesa Blvd Ste 200, San Diego, CA 92123-1225 | 2015-09-02 |
| 1336520014 | Denise Klaren | Physical Therapy Assistant | 9089 Clairemont Mesa Blvd Ste 200, San Diego, CA 92123-1225 | 2015-06-17 |
| 1932592862 | Catherine Osullivan | Specialist | 9089 Clairemont Mesa Blvd Ste 200, San Diego, CA 92123-1225 | 2015-03-17 |
| 1235529637 | Paula Curran | General Acute Care Hospital | 9089 Clairemont Mesa Blvd Ste 200, San Diego, CA 92123-1225 | 2015-01-23 |
| Find all providers in the same location | ||||
| 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 | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770704090 | Nancy M. Bazzetta | Recreation Therapist | 3853 Rosecrans, San Diego, CA 92110 | 2007-05-02 |
| 1649807892 | Margaret Kremer | Recreation Therapist | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-03-26 |
| 1437692621 | Kersey Peterson | Recreation Therapist | 9089 Clairemont Mesa Blvd, Suite 200, San Diego, CA 92123-1234 | 2016-11-21 |
| 1528473295 | Elizabeth Rau | Recreation Therapist | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2014-06-21 |
| 1831525088 | Dawn Michelle Mercurio | Recreation Therapist | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2013-09-19 |
| 1134553944 | Taylor Brooke Jaquay | Recreation Therapist | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2013-08-28 |
| 1598039059 | Kent Daniel Holt | Recreation Therapist | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2012-03-01 |
| 1104112663 | Kristina Mohrhardt | Recreation Therapist | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2011-06-23 |
| 1063706224 | Jennifer Anne Bixler | Recreation Therapist | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2011-06-06 |
| 1093986978 | Diana D. Rose | Recreation Therapist | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2008-03-18 |
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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.