GARRETT IVES


Address: 2909 Keats St Apt 7, San Diego, CA 92106-2345
Phone: 7608091520

GARRETT IVES (NPI# 1487298840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487298840
Entity Type Individual
Full Name GARRETT IVES
Practice Address 2909 Keats St Apt 7
San Diego
CA 92106-2345
Practice Telephone 7608091520
Mailing Telephone 7608091520
Enumeration Date 2019-10-29
Last Update Date 2019-10-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist CA Other Service Providers

Office Location

Street Address 2909 KEATS ST APT 7
City SAN DIEGO
State CA
Zip Code 92106-2345

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Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043826753 Dayjahnay Shantay Davenport Peer Specialist 3347 Lincoln Ave, San Diego, CA 92104-2111 2020-09-17
1427683101 Gerardo Castro Peer Specialist 5555 Reservoir Dr # 204-a, San Diego, CA 92120-5134 2020-03-03
1144882622 Melissa Ratsamy Peer Specialist 286 Euclid Ave Project Enable, #102, San Diego, CA 92114 2019-07-03
1699258459 Talya Donahue Peer Specialist 1045 Ninth Ave, San Diego, CA 92101 2018-09-07
1811434467 Deborah Sue Lynn Peer Specialist 140 W. Arbor Dr., Ucsd Gifford Outpatient Clinic, San Diego, CA 92103-2421 2017-01-20
1023463163 Miguel Pablo Surposa Peer Specialist 5711 Bolivar St, San Diego, CA 92139-1617 2016-04-26
1376140590 Leon Samuel Mancilla Peer Specialist 5555 Reservoir Dr, San Diego, CA 92120-5134 2020-10-01
1982210092 Nicole Lynn Iwan Peer Specialist 3491 Kurtz St Ste 150, San Diego, CA 92110-4430 2020-09-23
1962014001 Paulina Alvarado Peer Specialist 6160 Mission Gorge Rd, San Diego, CA 92120-3410 2020-08-19
1194333773 Paulina Vazquez Peer Specialist 4283 El Cajon Blvd Ste 115, San Diego, CA 92105-1289 2020-07-20
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Competitor

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City SAN DIEGO
Zip Code 92106

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Dataset Information

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.

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