HEALTHY AGING CENTERS (NPI# 1457841777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457841777 |
| Entity Type | Organization |
| Organization Name | HEALTHY AGING CENTERS |
| Other Organization Name | GAMEDAY MEN'S HEALTH |
| Practice Address |
2753 Jefferson St Ste 204 Carlsbad CA 92008-1704 |
| Practice Telephone | 9495429717 |
| Mailing Telephone | 8582529202 |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2018-12-04 |
| Authorized Official Name | K MITCHELL NAFICY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8582529202 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| GameDay Men's Health | Doing Business As Name - Organization |
| Street Address |
2753 JEFFERSON ST STE 204 |
| City | CARLSBAD |
| State | CA |
| Zip Code | 92008-1704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760029706 | Todd F Ovokaitys | Internal Medicine | 2260 Rutherford Road, Suite 101, C/o Gematria, Carlsbad, CA 92008 | 2019-12-10 |
| 1710548375 | San Diego Dental Anesthesia | Dentist | 1287 Carlsbad Village Drive, Carlsbad, CA 92008 | 2019-06-25 |
| 1972096717 | Toshiya Kawano | Chiropractor | 5650 El Camino Real Ste 285, Carlsbad, CA 92008 | 2018-06-06 |
| 1184111684 | Brittany Lauren Cheatham | Nurse Practitioner | 345 Walnut Ave, Carlsbad, CA 92008 | 2018-04-19 |
| 1770092843 | Michele Laporte Downey | Counselor | 2910 Jefferson St, Suite 100, Carsbad, CA 92008 | 2017-09-21 |
| 1225567142 | Shana Smith | Occupational Therapy Assistant | 5870 El Camino Real, Carlsbad, CA 92008 | 2017-06-05 |
| 1336690395 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2559 Camino Real Rd, Carlsbad, CA 92008 | 2016-10-14 |
| 1093174849 | Nhi Thi Diem Nguyen | Pharmacist | 6850 Avenida Encinas, Carlsbad, CA 92008 | 2016-02-22 |
| 1912362112 | Brooke Ann Bellomio | Psychologist | 2558 Roosevelt St. Suite 203, Carlsbad, CA 92008 | 2015-12-15 |
| 1285005660 | Thanh-trinh Doan | Optometrist | 2322 Rutherford Rd., Carlsbad, CA 92008 | 2015-10-12 |
| Find all providers in zip 92008 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578917720 | Elinora S Madrid-carranza | Family Medicine | 6010 Hidden Valley Rd Ste 150, Carlsbad, CA 92011-4217 | 2016-04-13 |
| 1366874745 | Peggy E Denton | Family Medicine | 3823 National Parks Highway, Carlsbad, NM 88220-8822 | 2013-08-07 |
| 1265727127 | Marie Hong Shieh | Family Medicine | 2501 Navarra Dr, Unit 124, Carlsbad, CA 92009-7002 | 2011-06-17 |
| 1538464029 | Carolyn Aludino Candido | Family Medicine | 5814 Van Allen Way Ste 215, Ste. 215, Carlsbad, CA 92008-7360 | 2011-01-14 |
| 1285964916 | Jerry Dee Colling | Family Medicine | 3171 Falcon Drive, Carlsbad, CA 92008 | 2009-12-31 |
| 1831343946 | Stephen Houngzin Peck | Family Medicine | 10950 N U.S. Hwy 87, Carlsbad, TX 76934-0038 | 2008-11-17 |
| 1154539864 | Philip Richard Goodman | Family Medicine | 7535 Cadencia St, Carlsbad, CA 92009-7534 | 2007-05-18 |
| 1508921586 | Farooq A. Kayani | Family Medicine | 2330 W Pierce St, Carlsbad, NM 88220-3514 | 2006-12-27 |
| 1063585495 | Gary P Korff | Family Medicine | 2562 State St Ste D, Carlsbad, CA 92008-1663 | 2006-11-15 |
| 1790855732 | Nii Tetteh Tsuru Addy | Family Medicine | 615 W Mermod St, Carlsbad, NM 88220-4912 | 2006-11-08 |
| Find all providers in CARLSBAD | ||||
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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.