BETTERNIGHT MEDICAL GROUP PA (NPI# 1417435207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417435207 |
| Entity Type | Organization |
| Organization Name | BETTERNIGHT MEDICAL GROUP PA |
| Practice Address |
5471 Kearny Villa Rd Ste 200 San Diego CA 92123-1143 |
| Practice Telephone | 8668019440 |
| Practice Fax Number | 6192996222 |
| Mailing Telephone | 8668019440 |
| Mailing Fax Number | 6192996222 |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | DR. EDWARD TRACY SALL (PRESIDENT) |
| Authorized Official Telephone | 8668019440 |
| Authorized Official Credential | MD, DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
| Street Address |
5471 KEARNY VILLA RD STE 200 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962400531 | Calvin Wong | Family Medicine | 5471 Kearny Villa Rd Ste 200, San Diego, CA 92123-1143 | 2005-07-08 |
| 1245376029 | Robert E. Scott, Jr., Md, Inc | Pain Medicine | 5471 Kearny Villa Rd Ste 200, San Diego, CA 92123-1143 | 2007-01-29 |
| 1265543615 | Paul C Murphy | Orthopaedic Surgery | 5471 Kearny Villa Rd Ste 200, San Diego, CA 92123-1143 | 2006-08-31 |
| 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 | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578914644 | Advanced Sleep Medicine Services, Inc. | Clinic/Center | 4909 Murphy Canyon Rd Ste 410, San Diego, CA 92123-4301 | 2016-06-29 |
| 1164796751 | Performance Sleep Centers, Inc. | Clinic/Center | 3939 Ruffin Rd Ste 114, San Diego, CA 92123-1804 | 2012-02-29 |
| 1629341805 | Advanced Sleep Medicine Services Inc | Clinic/Center | 6215 Ferris Sq, Suite 120, San Diego, CA 92121-3283 | 2012-02-17 |
| 1255601449 | Pride Hst | Clinic/Center | 12396 World Trade Dr Ste 105, San Diego, CA 92128-3787 | 2012-01-05 |
| 1407149917 | United Sleep Apnea Services | Clinic/Center | 895 Park Blvd Apt 546, San Diego, CA 92101-6690 | 2011-05-17 |
| 1366733297 | Ahi Sleep Inc. | Clinic/Center | 4470 Copeland Ave, San Diego, CA 92116-4801 | 2011-04-26 |
| 1225516024 | John Cronin Md PC | Clinic/Center | 5471 Kearny Villa Rd, Ste 200, San Diego, CA 92123-1143 | 2018-08-02 |
| 1487192779 | Sd Diagnostics Inc | Clinic/Center | 5471 Kearny Villa Rd, Suite 202, San Diego, CA 92123-1105 | 2017-02-07 |
| 1518394931 | Sleepmed of California, Inc. | Clinic/Center | 2878 Camino Del Rio South, Ste 404, San Diego, CA 92108-3848 | 2013-09-30 |
| 1003252834 | Sd Diagnostics Inc | Clinic/Center | 5471 Kearny Villa Rd, Ste 202, San Diego, CA 92123-1105 | 2013-05-20 |
| 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.