DR. JACQUELINE LEE ZIMMER (NPI# 1417958927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417958927 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE LEE ZIMMER |
| Credential | PH.D. |
| Practice Address |
710 Lonsdale Ln Vista CA 92084-4422 |
| Practice Telephone | 7602244811 |
| Mailing Telephone | 7602244811 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2015-05-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY8386 | CA | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
PSY8386 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PM0083860 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881228161 | Jacqueline Lee Pileski Zimmer | Dentist | 70 S Constitution Dr, Aurora, IL 60506-7341 | 2020-02-26 |
| Street Address |
710 LONSDALE LN |
| City | VISTA |
| State | CA |
| Zip Code | 92084-4422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912483421 | James Foster | Community Health Worker | 1020 S Santa Fe Ave Ste B1, Vista, CA 92084 | 2018-07-17 |
| 1750766192 | Olivia Del Valle | Dental Hygienist | 1000 Vale Tarrace, Vista, CA 92084 | 2015-07-28 |
| 1609288497 | May Tom | Dietitian, Registered | 29402 Spa Havens Way, Vista, CA 92084 | 2014-05-28 |
| 1972924454 | Erica Harris | Student in an Organized Health Care Education/Training Program | 300 Michigan Ave, Vista, CA 92084 | 2013-12-30 |
| 1023392008 | Timothy Wong | Pharmacist | 802 S Santa Fe Ave, Vista, CA 92084 | 2011-10-07 |
| 1811296288 | Jennifer Prince | Family Medicine | 1000 Vale Terrance Dr, Vista, CA 92084 | 2011-03-24 |
| 1093948424 | Deborah Denise Butcher | Psychologist | 1259 Sugarbush Drive, Vista, CA 92084 | 2009-09-02 |
| 1699922062 | Patricia Kay Oquist | Marriage & Family Therapist | 1370 Barbara Drive, Vista, CA 92084 | 2008-08-27 |
| 1376715045 | Steve Michael Nave | Dentist | 933 A Vale Terrace Drive, Vista, CA 92084 | 2008-04-02 |
| 1780868844 | Randell Brandon Murphy | Counselor | 1010 E Vista Way Suite F, Vista, CA 92084 | 2007-12-26 |
| Find all providers in zip 92084 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588125561 | Angelika V Kulyasova | Psychologist | 2067 W Vista Way Ste 295, Vista, CA 92083-6002 | 2019-03-30 |
| 1255771135 | Cristina Elena Bustos | Psychologist | 380 S Melrose Dr # 345, Vista, CA 92081-6641 | 2013-06-25 |
| 1093948424 | Deborah Denise Butcher | Psychologist | 1259 Sugarbush Drive, Vista, CA 92084 | 2009-09-02 |
| 1740436575 | Kenn R Finkelstein | Psychologist | 501 W Vista Way, Vista, CA 92083-5703 | 2008-08-12 |
| 1962660332 | Kristen Lamarca | Psychologist | 380 S Melrose Dr, 204, Vista, CA 92081-6641 | 2008-06-01 |
| 1669684775 | Sally Ann Corrington | Psychologist | 620 Via Bogota, Vista, CA 92081-6349 | 2007-05-03 |
| 1902920945 | Todd David Pizitz | Psychologist | 410 S Melrose Dr Ste 202, Vista, CA 92081-6623 | 2007-03-16 |
| 1104956556 | Laurie Ellen Berenson | Psychologist | 450 S Melrose Dr Ste 113, Vista, CA 92081-6674 | 2007-03-06 |
| 1871635524 | Arlys M Mcdonald | Psychologist | 1259 Sugarbush Dr, Vista, CA 92084-7463 | 2007-02-12 |
| 1710030564 | Suzanne Graupner Pike | Psychologist | 400 S Melrose Dr Ste 210, Vista, CA 92081-6632 | 2007-01-18 |
| Find all providers in VISTA | ||||
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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.