EUGENE TACHUK (NPI# 1417330432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417330432 |
Entity Type | Individual |
Full Name | EUGENE TACHUK |
Credential | M.D. |
Practice Address |
3740 Rosecrans St Ste C San Diego CA 92110-3126 |
Practice Telephone | 6192225433 |
Mailing Telephone | 6192225433 |
Enumeration Date | 2015-07-08 |
Last Update Date | 2015-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207N00000X | Dermatology | A036884 | CA | Allopathic & Osteopathic Physicians |
N | 208200000X | Plastic Surgery | A036884 | CA | Allopathic & Osteopathic Physicians |
Y | 208D00000X | General Practice | A036884 | CA | Allopathic & Osteopathic Physicians |
N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
A036884 | CA | Allopathic & Osteopathic Physicians |
N | 207QB0002X |
Family Medicine Specialization: Obesity Medicine |
A036884 | CA | Allopathic & Osteopathic Physicians |
Street Address |
3740 ROSECRANS ST STE C |
City | SAN DIEGO |
State | CA |
Zip Code | 92110-3126 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669021713 | Ruben Daniel Gutierrez | Marriage & Family Therapist | 4141 Pacific Coast Hwy, San Diego, CA 92110 | 2019-09-10 |
1548724081 | Denise Ellen Thompson | Counselor | 3255 Wings Street, San Diego, CA 92110 | 2019-01-29 |
1801378716 | Michelle Lisa Jean Crawford | Student in an Organized Health Care Education/Training Program | 3767 Central Avenue, San Diego, CA 92110 | 2018-09-06 |
1427539048 | Allison Turrell | Case Manager/Care Coordinator | 4930 Naples Street, San Diego, CA 92110 | 2018-08-22 |
1750872768 | Matthew Langworthy | Physical Therapist | 3405 Kenyon St Ste 212, San Diego, CA 92110 | 2018-05-24 |
1245748342 | The One Health Boutique, LLC | Chiropractor | 5350 Riley St, San Diego, CA 92110 | 2018-01-11 |
1437670155 | Monique A Fernandez | Counselor | 3132 Jefferson Street, San Diego, CA 92110 | 2017-07-03 |
1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
1912352576 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 3880 Rosecrans Street, San Diego, CA 92110 | 2016-05-02 |
Find all providers in zip 92110 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
1629626981 | Rejuvenate Medical Group Inc | General Practice | 5030 Camino De La Siesta Ste 404, San Diego, CA 92108-3120 | 2019-08-29 |
1114484573 | Revive Medical of San Diego | General Practice | 7220 Trade St Ste 209, San Diego, CA 92121-2326 | 2019-02-21 |
1144790643 | Elaine Esguerra | General Practice | 751 Kentmere Ter, San Diego, CA 92154-8415 | 2018-11-28 |
1609350909 | Cristina Lavenant Gordon | General Practice | 10912 Derrydown Way, San Diego, CA 92130-2897 | 2018-09-21 |
1144723289 | Andrew T Bagby | General Practice | 601 Mc Cain Blvd, San Diego, CA 92135 | 2018-03-15 |
1568828671 | Ceferina Pulgar Ruiz | General Practice | 6809 Freed Manor Lane, San Diego, CA 92114 | 2016-01-05 |
1578941597 | Zenus Joe Wilson | General Practice | 2446 Trident Way Bldg 637, San Diego, CA 92155-5494 | 2015-05-11 |
1457761090 | David Lilienfeld | General Practice | 13412 Pantera Rd, San Diego, CA 92130-1022 | 2014-05-05 |
1972920882 | Genevieve Dowling | General Practice | 5575 Ruffin Rd # 100us, San Diego, CA 92123-1380 | 2014-03-28 |
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.