ERIC CARLSON (NPI# 1467814202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467814202 |
| Entity Type | Individual |
| Full Name | ERIC CARLSON |
| Practice Address |
2865 Logan Ave San Diego CA 92113-2411 |
| Practice Telephone | 6192751453 |
| Mailing Telephone | 6192751453 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2017-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790130532 | Eric Carlson | Counselor | 20 Space Blvd, Albany, NY 12205-2518 | 2016-04-29 |
| 1962879122 | Eric B Carlson | Marriage & Family Therapist | 4551 Glencoe Ave Ste 255, Marina Del Rey, CA 90292-7924 | 2015-08-24 |
| 1366737769 | Eric D. Carlson | Dentist | 1020 Menomonie Street, Eau Claire, WI 54703 | 2011-06-14 |
| 1316080062 | Eric Carlson | Chiropractor | 50 W Geneva St, Williams Bay, WI 53191-9518 | 2007-02-14 |
| 1902965890 | Eric Todd Carlson | Dentist | 12725 43rd St Ne Ste 202, Saint Michael, MN 55376-4929 | 2006-12-06 |
| 1497869416 | Eric Arthur Carlson | Dentist | 18550 Firlands Way N, Shoreline, WA 98133 | 2006-08-18 |
| 1235197625 | Eric J Carlson | Ophthalmology | Bosley Medical Group, 1601 Market St, Ste 2410, Philadelphia, PA 19103 | 2006-05-03 |
| 1316941206 | Eric Barnett Carlson | Internal Medicine | 2090 W Arlington Blvd, Ste B, Greenville, NC 27834-5727 | 2005-06-08 |
| 1891261434 | Eric J Carlson | Social Worker | 1401 East 1st Street, Duluth, MN 55805-2407 | 2018-10-22 |
| 1881761930 | Eric Robert Carlson | Physical Therapist | 350 E 300 N, American Fork, UT 84003 | 2006-11-30 |
| Street Address |
2865 LOGAN AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92113-2411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659445815 | Joanne Lorraine Miller | Counselor | 2865 Logan Ave, San Diego, CA 92113-2411 | 2006-11-20 |
| 1518575844 | Long Wang | Student in an Organized Health Care Education/Training Program | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-07-22 |
| 1609484559 | Caitlin Donnelly | Student in an Organized Health Care Education/Training Program | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-07-16 |
| 1194342816 | Laurel Thiel Silver | Student in an Organized Health Care Education/Training Program | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-06-29 |
| 1831712793 | Carly Lynn Gunnersen | Counselor | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-05-26 |
| 1477175602 | Safyyah Deseree Davis | Licensed Vocational Nurse | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-05-11 |
| 1134741549 | Angela Sarmiento | Licensed Vocational Nurse | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-05-08 |
| 1477175883 | Jary Barreto Crisi Center | Counselor | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-05-08 |
| 1689205510 | Jasmine De Santiago | Counselor | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-01-29 |
| 1518597103 | Karalyn Cardinale Hingorani | Counselor | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609305986 | Cynthia Alba | Nutritionist | 1809 National Ave., San Diego, CA 92113 | 2017-06-08 |
| 1184153983 | Jessy Milligan | Counselor | 4125 Alpha Street, San Diego, CA 92113 | 2017-06-06 |
| 1730557406 | Deborah Mary Malloy | Counselor | Jary Barreto, 2865 Logan Avenue, San Diego, CA 92113 | 2015-09-10 |
| 1104220912 | Imhotep Mustaqeem | Counselor | 3336 Steel Street, San Diego, CA 92113 | 2014-10-22 |
| 1831507300 | Olga Vasileva | Student in an Organized Health Care Education/Training Program | 2865 Logan Avenue, San Diego, CA 92113 | 2014-07-29 |
| 1477961951 | Angelica Quezada | Counselor | 32510 Newton Avenue B103, San Diego, CA 92113 | 2014-07-28 |
| 1477986750 | Anita Pena | Licensed Vocational Nurse | 604 Olivewood Ter, San Diego, CA 92113 | 2013-08-09 |
| 1134459399 | Susana Cabada | Technician, Other | 4031 Marine View Ave., San Diego, CA 92113 | 2010-01-11 |
| 1669595609 | Maria Emilia Siller | Registered Nurse | 3177a Oceanview Blvd, San Diego, AL 92113 | 2007-04-06 |
| 1710009691 | Maria Engracia Siordia | Licensed Vocational Nurse | 3177a Ocean View Blvd, San Diego, CA 92113 | 2007-04-04 |
| Find all providers in zip 92113 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346359 | Christina L Thomas | Counselor | 4611 Alamo Dr, San Diego, CA 92115-5907 | 2020-11-05 |
| 1639779101 | Paula Perez | Counselor | 5882 Adobe Falls Rd, San Diego, CA 92120-4600 | 2020-10-26 |
| 1558974378 | Monica Dixon | Counselor | 4930 Naples St Fl 1, San Diego, CA 92110-3820 | 2020-08-31 |
| 1952911612 | Shannon Kathleen Nolte | Counselor | 13111 Kellam Ct Apt 9, San Diego, CA 92130-1251 | 2020-08-06 |
| 1033728498 | Hala Kadhem | Counselor | 1664 Broadway, El Cajon, San Diego, CA 92021 | 2020-07-30 |
| 1487279493 | Christi Susan Leyva | Counselor | 10417 Crosscreek Ter, San Diego, CA 92131-1344 | 2020-06-15 |
| 1285256099 | Jehna Barnes | Counselor | 3636 Camino Del Rio N, San Diego, CA 92108-1703 | 2020-05-14 |
| 1457973455 | Cassandra Detgen | Counselor | 5252 Orange Ave Unit 125, San Diego, CA 92115-6029 | 2020-05-12 |
| 1972131589 | Douglas Baker Marriage and Family Therapy, Inc. | Counselor | 2911 Adams Ave # 5, San Diego, CA 92116-1509 | 2020-03-30 |
| 1255966859 | Job Brunat | Counselor | 4169 38th St Apt 10, San Diego, CA 92105-1367 | 2020-03-04 |
| 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.