MOBILE WOUND CARE PHYSICIAN ASSISTANT CORPORATION (NPI# 1477932978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477932978 |
Entity Type | Organization |
Organization Name | MOBILE WOUND CARE PHYSICIAN ASSISTANT CORPORATION |
Other Organization Name | MOBILE WOUND CARE |
Practice Address |
2028 31st St San Diego CA 92104-5632 |
Practice Telephone | 8602270611 |
Mailing Telephone | 8602270611 |
Enumeration Date | 2015-05-29 |
Last Update Date | 2015-05-29 |
Authorized Official Name | NICHOLAS BAI (CEO) |
Authorized Official Telephone | 8602270611 |
Authorized Official Credential | PA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
52091 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Other Name | Type Code |
---|---|
Mobile Wound Care | Doing Business As Name - Organization |
Street Address |
2028 31ST ST |
City | SAN DIEGO |
State | CA |
Zip Code | 92104-5632 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750933610 | Hinderberger Dental Corporation | Dentist | 2050 El Cajon Boulevard, San Diego, CA 92104 | 2019-07-11 |
1912487265 | Graham Ashton Harris | Dentist | 2310 Craven Street, Bldg 3230, Fpo, AA 92104 | 2018-08-16 |
1700393485 | Christian Jacot | Occupational Therapy Assistant | 3128 Nile Street, San Diego, CA 92104 | 2018-01-04 |
1316452931 | Enrico Resurreccion Santos | Dental Hygienist | 2310 Craven St. Bldg. 3230, San Diego, CA 92104 | 2017-12-05 |
1164940789 | Robert Brian Damone | Acupuncturist | 3370 29th Street, San Diego, CA 92104 | 2017-09-04 |
1780100636 | Nicole Palacios | Counselor | 4170 Texas Street, Apt 1, San Diego, CA 92104 | 2017-08-22 |
1063938587 | Indie C Oliver Landrum | Case Manager/Care Coordinator | 2220 Broadway, San Diego, CA 92104 | 2017-08-16 |
1669829008 | Krystah Lynn Smith | Doula | 3370 Cherokee Ave, Unit 43, San Diego, CA 92104 | 2016-05-16 |
1063871853 | Holly Nicole Hinderberger | Dentist | 2050 El Cajon Blvd, San Diego, CA 92104 | 2016-02-22 |
1316336258 | Jorge E Talavera | Military Health Care Provider | 3875 Florida St Apt 2, San Diego, CA 92104 | 2015-01-15 |
Find all providers in zip 92104 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437454220 | Peter Deane Houston | Physician Assistant | 9040 Friars Rd Ste 230, San Diego, CA 92108-5860 | 2011-01-25 |
1720288087 | Laura Ruth Duffy | Physician Assistant | 1643 6th Ave, #204, San Diego, CA 92101-2757 | 2007-07-24 |
1861539348 | Norman K Moser | Physician Assistant | 34800 Bob Wilson Dr Suite 112, Nmcsd, San Diego, CA 92134-1112 | 2007-01-31 |
1538214515 | Shaun D Young | Physician Assistant | 8901 Activity Road, San Diego, CA 92126 | 2007-01-23 |
1174612170 | Jonathan Wu | Physician Assistant | 7525 Metropolitan Dr Ste 306, San Diego, CA 92108-4404 | 2006-10-11 |
1982798112 | Virginia Ann Floco | Physician Assistant | 3030 Childrens Way Ste 402, San Diego, CA 92123-4228 | 2006-10-03 |
1366464471 | Colleen Gustafson Espenschied | Physician Assistant | 2017 1st Ave, San Diego, CA 92101-2033 | 2006-07-25 |
1396719779 | Brian Joseph O'neill | Physician Assistant | 11532 Village Ridge Rd, San Diego, CA 92131-3905 | 2006-02-14 |
1619974623 | Kimberlee J Knox | Physician Assistant | 3307 4th Ave, San Diego, CA 92103-5703 | 2005-07-05 |
1073519278 | James Harvey Kimber | Physician Assistant | 12547 El Camino Real, Unit E, San Diego, CA 92130-4054 | 2005-06-22 |
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.