ADVANCE CARE SPECIALIST MEDICAL CLINIC (NPI# 1497171748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497171748 |
| Entity Type | Organization |
| Organization Name | ADVANCE CARE SPECIALIST MEDICAL CLINIC |
| Practice Address |
7851 Mission Center Ct Ste 205 San Diego CA 92108-1327 |
| Practice Telephone | 6192915410 |
| Practice Fax Number | 6192915412 |
| Mailing Telephone | 6192915410 |
| Mailing Fax Number | 6192915412 |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |
| Authorized Official Name | DR. RONALD M. SCHILLING SR. (MEDICAL DIRECTOR/ OWNER) |
| Authorized Official Telephone | 5629977996 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | ADVANCE CARE SPECIALIST MEDICAL CLINIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
G60661 | CA | Ambulatory Health Care Facilities |
| Street Address |
7851 MISSION CENTER CT STE 205 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-1327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891131314 | Ucsd Occupational Medicine | Clinic/Center | 8899 University Center Ln Ste 160, San Diego, CA 92122-1035 | 2013-05-13 |
| 1215345590 | North County Orthopedic Medical Group Inc | Clinic/Center | 8929 University Center Ln, #100, San Diego, CA 92122-1006 | 2014-07-30 |
| 1962531244 | Ucsd Occupational Medicine | Clinic/Center | 330 Lewis St, Suite 100, San Diego, CA 92103-2108 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688708 | Kings Industrial Occupational Medical Center Inc | Clinic/Center | 936 G St Ste B, Reedley, CA 93654-2627 | 2020-10-28 |
| 1467067280 | Michael Scott Weiner | Clinic/Center | 2388 Ginger Cir, Newbury Park, CA 91320-3349 | 2020-09-09 |
| 1790396547 | Oak Valley Hospital District | Clinic/Center | 250 S Oak Ave Ste A4, Oakdale, CA 95361-3572 | 2020-08-14 |
| 1013543693 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 3600 Juliette Ln # Sr9-01, Santa Clara, CA 95054-1540 | 2020-03-16 |
| 1386287878 | Starlight Therapy Center Inc | Clinic/Center | 1235 Indiana Ct Ste 107, Redlands, CA 92374-4540 | 2019-10-28 |
| 1356819924 | Unete Healthcare Associates LLC | Clinic/Center | 928 S Broadway Apt 813, Los Angeles, CA 90015-4578 | 2018-11-13 |
| 1669956710 | Sacramento Occupational Medical Center | Clinic/Center | 3840 Watt Ave., Number B, Sacramento, CA 95821-2640 | 2018-09-24 |
| 1487106217 | Imperial Valley Occupational Medicine | Clinic/Center | 1850 W Main St Ste E, El Centro, CA 92243-2106 | 2016-10-27 |
| 1306205570 | Blue Oak Medical Group | Clinic/Center | 4300 Long Beach Blvd Ste 170, Long Beach, CA 90807 | 2016-02-17 |
| 1225495203 | Blue Oak Medical Group | Clinic/Center | 10832 Laurel St Ste 102, Rancho Cucamonga, CA 91730 | 2016-01-22 |
| Find all providers with the same taxonomy | ||||
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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.