MICHAEL PAUL LICHT II (NPI# 1437654217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437654217 |
| Entity Type | Individual |
| Full Name | MICHAEL PAUL LICHT II |
| Practice Address |
4309 3rd Ave San Diego CA 92103-1407 |
| Mailing Address |
3825 47th St Apt 6 San Diego CA 92105-2863 |
| Practice Telephone | 6198764502 |
| Mailing Telephone | 8589528295 |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2018-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
95114434 | CA | Nursing Service Providers |
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
95114434 | CA | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 330 Moss St, Chula Vista, CA 919112005 | 6195854230 |
| Street Address |
4309 3RD AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689889289 | New Alternatives, Inc. | Clinic/Center | 4309 3rd Ave, San Diego, CA 92103-1407 | 2007-05-14 |
| 1932716966 | Samantha Eklund | Registered Nurse | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-09-24 |
| 1710594742 | Ashley Nicole Gatoloai | Licensed Psychiatric Technician | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-09-24 |
| 1194332122 | Jacob Couture | Registered Nurse | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-09-24 |
| 1861008138 | Brandy Lizette Munoz | Licensed Vocational Nurse | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-09-21 |
| 1356955355 | Diana Munoz | Marriage & Family Therapist | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-09-07 |
| 1982218160 | Ruben Dela Cruz Quiocho | Licensed Vocational Nurse | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-09-03 |
| 1780296905 | Gustavo Fonseca | Registered Nurse | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-08-19 |
| 1538777586 | Alexa Brozick | Registered Nurse | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-07-16 |
| 1972111870 | Brent P Davis | Registered Nurse | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265929442 | Lydia Besterfeldt | Registered Nurse | 9967 Mesa Madera Dr, San Diego, CA 92131 | 2018-04-13 |
| 1750816500 | Joseph Smith | Registered Nurse | 4995 Murphy Canyon Rd, St 204, San Diego, CA 92123 | 2017-04-28 |
| 1912382433 | Christopher Kiragu | Registered Nurse | 17195 W Bernardo Dr Unit 202, San Diego, CA 92127-1538 | 2015-07-27 |
| 1881079838 | Denise Johnson | Registered Nurse | 1159 6th Ave, #211, San Diego, CA 92101-5203 | 2015-07-20 |
| 1831578251 | Sarneh Ohanian Saki | Registered Nurse | 3655 Ash St, Unit 6, San Diego, CA 92105-5941 | 2015-05-19 |
| 1912273921 | Christopher Carosella | Registered Nurse | 4993 Park Rim Dr, San Diego, CA 92117-1721 | 2012-03-24 |
| 1447494786 | Carla Beth Omar | Registered Nurse | 892 27th St., San Diego, CA 92154 | 2009-04-30 |
| 1205434305 | Taylor Moana Chaffin | Registered Nurse | 7850 Vista Hill Ave, San Diego, CA 92123-2717 | 2020-10-12 |
| 1639796576 | Kara Rose Young | Registered Nurse | 4283 El Cajon Blvd Ste 115, San Diego, CA 92105-1289 | 2020-06-26 |
| 1699329201 | Heather Jenna Del Valle | Registered Nurse | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2019-07-31 |
| 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.