MS. OKSANA NIZHEBORSKY (NPI# 1417336827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417336827 |
| Entity Type | Individual |
| Full Name | MS. OKSANA NIZHEBORSKY |
| Credential | NP |
| Practice Address |
9619 Chesapeake Dr Suite 102 San Diego CA 92123-1368 |
| Practice Telephone | 8582791212 |
| Practice Fax Number | 8582791420 |
| Mailing Telephone | 8582791212 |
| Mailing Fax Number | 8582791420 |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2015-05-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
674186 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9619 CHESAPEAKE DR SUITE 102 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-1368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770523169 | Home Physicians Medical Group, Inc. | Internal Medicine | 9619 Chesapeake Dr, Suite #102, San Diego, CA 92123-1368 | 2006-06-07 |
| 1326213034 | Michael Ratter, M.d., A Professional Corporation | General Practice | 9619 Chesapeake Dr, Suite 102, San Diego, CA 92123-1368 | 2008-04-23 |
| 1043427008 | Marcia Gezelter Cook | Physical Therapist | 9619 Chesapeake Dr, Suite 300, San Diego, CA 92123-1368 | 2007-05-17 |
| 1285849604 | Lisa C. O'connell | Internal Medicine | 9619 Chesapeake Dr, #102, San Diego, CA 92123-1368 | 2007-05-10 |
| 1841370038 | Jeffrey David Lash | Internal Medicine | 9619 Chesapeake Dr, Suite #102, San Diego, CA 92123-1368 | 2006-10-16 |
| 1851491997 | Yvonne Marie Minton | Physical Therapist | 9619 Chesapeake Dr, Suite 300, San Diego, CA 92123-1368 | 2006-09-25 |
| 1124039524 | Andrew Phoon | Internal Medicine | 9619 Chesapeake Dr, San Diego, CA 92123 | 2006-08-10 |
| 1225049612 | Richard Keitley Gundry | Internal Medicine | 9619 Chesapeake Dr, San Diego, CA 92123 | 2006-08-10 |
| 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 | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535937 | Ashley Elizabeth Rosso | Nurse Practitioner | 3111 Camino Del Rio N Ste 625, San Diego, CA 92108-5718 | 2020-07-17 |
| 1316465198 | Laura Ann Clarizio | Nurse Practitioner | 8685 Rio San Diego Dr Apt 4329, San Diego, CA 92108-6559 | 2017-08-31 |
| 1467975656 | Bays Nursing Corporation | Nurse Practitioner | 3433 Marathon Dr, San Diego, CA 92123-2621 | 2017-07-19 |
| 1255868873 | Patricia Vlasin, N.p., Inc., A Nursing Corporation | Nurse Practitioner | 13754 Bassmore Dr, San Diego, CA 92129-3220 | 2017-05-13 |
| 1750683314 | Brenda Geraldine Van Loggem | Nurse Practitioner | 6920 Miramar Rd, San Diego, CA 92121-2632 | 2010-12-02 |
| 1588718902 | Victoria Llanes Wooden | Nurse Practitioner | 4459 Philbrook Sq, San Diego, CA 92130-8674 | 2007-01-23 |
| 1477630036 | Anne Quyen Nguyen | Nurse Practitioner | 10203 Winecreek Ct, San Diego, CA 92127-3728 | 2006-11-01 |
| 1477666162 | Carole F Hair | Nurse Practitioner | 3350 La Jolla Village Dri, Va San Diego Healthcare System, San Diego, CA 92161-0001 | 2006-08-16 |
| 1962421669 | Barbara M. Fisher | Nurse Practitioner | 956 10th Ave, San Diego, CA 92101-6526 | 2006-07-19 |
| 1912475542 | Theresa Aqui | Nurse Practitioner | 7801 Mission Center Ct, San Diego, CA 92108-1313 | 2018-11-13 |
| 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.