SARA MAE PETERSON (NPI# 1417204389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417204389 |
| Entity Type | Individual |
| Full Name | SARA MAE PETERSON |
| Credential | MT(ASCP) |
| Practice Address |
3350 La Jolla Village Dr San Diego CA 92161-0002 |
| Mailing Address |
1912 Edith Dr Escondido CA 92026-1058 |
| Practice Telephone | 8585528585 |
| Mailing Telephone | 7602123181 |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2012-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | MTA 43677 | CA | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811499759 | Sara Peterson | Speech-Language Pathologist | 4102 Shore Drive, Indianapolis, IN 46254 | 2018-03-07 |
| 1396125159 | Sara Peterson | Nurse Practitioner | 10600 Quivira Rd Fl 3, Overland Park, KS 66215-2309 | 2015-06-05 |
| 1255671491 | Sara Peterson | Counselor | 11873 Springs Rd Unit 120, Conifer, CO 80433-7263 | 2013-02-25 |
| 1902813124 | Sara Alice Peterson | Counselor | 455 E Paces Ferry Rd Ne, Suite 312, Atlanta, GA 30305-3313 | 2006-08-01 |
| 1497378608 | Sara Lagrave Peterson | Physical Therapist | 11960 Lioness Way Ste 260, Parker, CO 80134-5640 | 2020-05-21 |
| 1679102396 | Sara Peterson | Physical Medicine & Rehabilitation | 1024 Central Park Dr, Steamboat Springs, CO 80487-8813 | 2020-04-04 |
| 1134620628 | Sara L. Peterson | Physical Therapist | 601 University Ave Ste 185, Sacramento, CA 95825-6739 | 2018-02-21 |
| 1164876132 | Sara Peterson | Counselor | 1334 S Maryland Pkwy, Las Vegas, NV 89104-3310 | 2016-04-15 |
| 1548632151 | Sara Peterson | Physical Therapist | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2015-10-22 |
| 1154611077 | Sara Peterson | Psychologist | 4955 S Durango Dr, #207, Las Vegas, NV 89113-0152 | 2011-04-12 |
| Street Address |
3350 LA JOLLA VILLAGE DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92161-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928218 | Leslie Gwen Mcewan | Registered Nurse | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-09-30 |
| 1093329419 | Esther Yerim Hwang | Pharmacist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-09-02 |
| 1821602244 | Tracy Xinye Chen | Pharmacist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-09-02 |
| 1083227946 | Kayla Christine Knopp | Psychologist | 3350 La Jolla Village Dr, San Diego, CA 92161 | 2020-08-28 |
| 1609489699 | Cristina De Almeida Amaral | Registered Nurse | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-08-28 |
| 1528670221 | Elizabeth O'neill | Nurse Practitioner | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-08-24 |
| 1194335828 | David Alan Yee | Pharmacist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-08-07 |
| 1770193831 | Devon Gregory | Registered Nurse | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-08-04 |
| 1356950216 | Lauren F Monsanto | Optometrist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-07-27 |
| 1184232530 | Sean Mommerency | Physical Therapist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902315807 | Laura Crocker | Psychologist | 3350 La Jolla Village Dr Mc 151b, San Diego, CA 92161 | 2017-09-22 |
| 1568849545 | Deborah Falch | Internal Medicine | Office of Primary Care Room 3322, 3350 La Jolla Village Drive, San Diego, CA 92161 | 2015-04-29 |
| 1649566001 | Alyan Ali | Student in an Organized Health Care Education/Training Program | 350 La Jolla Village Dr, Unit 118, San Diego, CA 92161 | 2011-06-23 |
| 1992840144 | I-wei Shu | Psychiatry & Neurology | 3350 La Jolla Village Drive Mc 116a, San Diego, CA 92161 | 2007-02-21 |
| 1639252216 | R Shabetai | General Acute Care Hospital | Vahcs 3350 La Jolla Village Dr, Cardiolgy 111a, La Jolla, CA 92161 | 2006-10-24 |
| 1437233624 | Lee Michael Williams | Marriage & Family Therapist | Department of Veteran Affairs, 3350 La Jolla Village Dr, Psychology Department, San Diego, CA 92161 | 2006-10-24 |
| 1295824340 | Pamela Anne Broder | Pharmacist | San Diego Va Medical Center (119), 3350 La Jolla Village Drive, San Diego, CA 92161 | 2006-10-12 |
| 1750484259 | Michael Neil Oxman | Internal Medicine | Shingles Prevention Study (111f-1), Va Medical Center, 3350 La Jolla Village Drive, San Diego, CA 92161 | 2006-09-07 |
| 1295847358 | Patricia Ellen Fornes | Physical Therapist | Dept. Veterens Affairs San Diego Healthcare Services, 3350 La Jolla Village Dr. Dept. Pm&r Mb 117, San Diego, CA 92161 | 2006-08-31 |
| 1477667087 | Kathryn Victoria Frederick Louv | Nurse Practitioner | 3350 La Jolla Village Dr., La Jolla, CA 92161 | 2006-08-19 |
| Find all providers in zip 92161 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033659388 | Morgan Irene Gilfillan | Specialist/Technologist, Other | 1420 Hornblend St, Apt. 1, San Diego, CA 92109-4329 | 2017-03-06 |
| 1629476429 | Angelic Health Care Group, Inc. | Specialist/Technologist, Other | 1286 University Ave Ste 579, San Diego, CA 92103-3312 | 2014-12-10 |
| 1881819282 | Jo Ann L Garcia | Specialist/Technologist, Other | 7485 Mission Valley Rd Ste 104, San Diego, CA 92108-4422 | 2007-04-13 |
| 1922174267 | Alisherhon Azamov | Specialist/Technologist, Other | 4653 Carmel Mountain Rd Ste 308-201, San Diego, CA 92130-6650 | 2006-11-28 |
| 1013374875 | Patrick Langit | Specialist/Technologist, Other | 5998 Alcala Park, San Diego, CA 92110-8001 | 2016-01-25 |
| 1467869511 | Alians, Inc | Specialist/Technologist, Other | 4653 Carmel Mountain Rd, Suite 308-201, San Diego, CA 92130-6650 | 2014-07-21 |
| 1861609760 | Kimberly K Huston | Specialist/Technologist, Other | 6719 Alvarado Rd, Suite 200, San Diego, CA 92120-5270 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619590528 | Brain Training Institute LLC | Specialist/Technologist, Other | 100 Pierre Rd Ste A, Walnut, CA 91789-2565 | 2020-05-26 |
| 1063050441 | Medical Legal Experts Mle | Specialist/Technologist, Other | 4623 Hawthorne Blvd., Suite 401, Lawndale, CA 90260 | 2019-12-16 |
| 1720632045 | Amanda M Vanderford | Specialist/Technologist, Other | 6150 Tule Lane, Foresthill, CA 95631 | 2019-07-25 |
| 1730655408 | Linda Adkins | Specialist/Technologist, Other | 515 W 6th St Fl 9, Los Angeles, CA 90014-1201 | 2018-10-19 |
| 1346741576 | Yasmin Ali | Specialist/Technologist, Other | 41019 Woodshire Dr, Palmdale, CA 93551-5746 | 2018-02-22 |
| 1669971164 | Timothy Michael Dwyer Jr. | Specialist/Technologist, Other | 3225 S Townsend St, Santa Ana, CA 92704-6647 | 2018-02-09 |
| 1801305503 | Judee H Carrico | Specialist/Technologist, Other | 2032 Thompson Ct Ste 12, Montrose, CA 91020-1652 | 2017-09-25 |
| 1992245427 | Jennifer Mcevoy | Specialist/Technologist, Other | 355 1st St Unit S805, San Francisco, CA 94105-3067 | 2017-03-02 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
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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.