TINA LA D'ULISSE (NPI# 1497849269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497849269 |
| Entity Type | Individual |
| Full Name | TINA LA D'ULISSE |
| Credential | PHARM D |
| Practice Address |
3350 La Jolla Village Drive San Diego CA 92161 |
| Mailing Address |
9437 Adolphia Street San Diego CA 92129 |
| Practice Telephone | 8585528585 |
| Practice Fax Number | 8585527522 |
| Mailing Telephone | 8585386945 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2009-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
52209 | CA | Pharmacy Service Providers |
| Street Address |
3350 LA JOLLA VILLAGE DRIVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740223619 | Kyoko Sakamoto | Urology | 3350 La Jolla Village Drive, Mail Code 9112f, San Diego, CA 92161-0002 | 2006-06-14 |
| 1902327463 | Nina Zara Saldua-santiago | Physical Therapy Assistant | 3350 La Jolla Village Drive, San Diego, CA 92161 | 2017-07-05 |
| 1144685215 | Henry John Orff | Psychologist | 3350 La Jolla Village Drive, Va San Diego Healthcare System, San Diego, CA 92161 | 2015-12-16 |
| 1801220843 | Vivian Kim Tran | Pharmacist | 3350 La Jolla Village Drive, San Diego, CA 92161-0002 | 2013-08-27 |
| 1134478910 | Jessica Lynn Thackaberry | Psychiatry & Neurology | 3350 La Jolla Village Drive, San Diego, CA 92037 | 2012-09-07 |
| 1104127679 | Aaron Michael Miller | Student in an Organized Health Care Education/Training Program | 3350 La Jolla Village Drive, San Diego, CA 92161 | 2010-11-15 |
| 1588964787 | Nicole Wallace | Physical Therapist | 3350 La Jolla Village Drive, San Diego, CA 92161 | 2010-10-22 |
| 1407096480 | Cynthia Woodhouse | Physical Therapist | 3350 La Jolla Village Drive, 117a, San Diego, CA 92161-0002 | 2009-03-03 |
| 1518116730 | Henriquez Delacruz | Orthotic Fitter | 3350 La Jolla Village Drive, Prosthetic & Sensory Aids Svc 664/121, San Diego, CA 92161 | 2008-09-11 |
| 1104073097 | Jeanne Ventura | Pharmacist | 3350 La Jolla Village Drive, Va San Diego Healthcare System (119), San Diego, CA 92122-5447 | 2008-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902315807 | Laura Crocker | Psychologist | 3350 La Jolla Village Dr Mc 151b, San Diego, CA 92161 | 2017-09-22 |
| 1568849545 | Deborah Falch | Internal Medicine | Office of Primary Care Room 3322, 3350 La Jolla Village Drive, San Diego, CA 92161 | 2015-04-29 |
| 1649566001 | Alyan Ali | Student in an Organized Health Care Education/Training Program | 350 La Jolla Village Dr, Unit 118, San Diego, CA 92161 | 2011-06-23 |
| 1992840144 | I-wei Shu | Psychiatry & Neurology | 3350 La Jolla Village Drive Mc 116a, San Diego, CA 92161 | 2007-02-21 |
| 1639252216 | R Shabetai | General Acute Care Hospital | Vahcs 3350 La Jolla Village Dr, Cardiolgy 111a, La Jolla, CA 92161 | 2006-10-24 |
| 1437233624 | Lee Michael Williams | Marriage & Family Therapist | Department of Veteran Affairs, 3350 La Jolla Village Dr, Psychology Department, San Diego, CA 92161 | 2006-10-24 |
| 1295824340 | Pamela Anne Broder | Pharmacist | San Diego Va Medical Center (119), 3350 La Jolla Village Drive, San Diego, CA 92161 | 2006-10-12 |
| 1750484259 | Michael Neil Oxman | Internal Medicine | Shingles Prevention Study (111f-1), Va Medical Center, 3350 La Jolla Village Drive, San Diego, CA 92161 | 2006-09-07 |
| 1295847358 | Patricia Ellen Fornes | Physical Therapist | Dept. Veterens Affairs San Diego Healthcare Services, 3350 La Jolla Village Dr. Dept. Pm&r Mb 117, San Diego, CA 92161 | 2006-08-31 |
| 1477667087 | Kathryn Victoria Frederick Louv | Nurse Practitioner | 3350 La Jolla Village Dr., La Jolla, CA 92161 | 2006-08-19 |
| Find all providers in zip 92161 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316393648 | Tam Jacobson | Pharmacist | 11631 Miro Cir, San Diego, CA 92131-3320 | 2016-05-05 |
| 1508116997 | Jeffrey A Killian | Pharmacist | 425 W. Beech St # 1258, San Diego, CA 92101-8431 | 2012-09-13 |
| 1144473471 | Matthew E Dehner | Pharmacist | 11945 Handrich Dr, San Diego, CA 92131-1411 | 2008-10-30 |
| 1972691053 | Henry Claude Walker | Pharmacist | 10990 San Diego Mission Rd Rm 2313, San Diego, CA 92108-2417 | 2006-10-11 |
| 1447348206 | Bryan Nguyen | Pharmacist | 10680 Treena St Stop 5, San Diego, CA 92131-2447 | 2006-10-10 |
| 1124127527 | Annalisa Porter | Pharmacist | 10010 Campus Point Dr, San Diego, CA 92121-1518 | 2006-09-22 |
| 1295837847 | Providence Distefano Morris | Pharmacist | 3150 Goldfinch St, San Diego, CA 92103-5412 | 2006-09-03 |
| 1184734956 | Jessica E Harris | Pharmacist | 3350 La Jolla Village Dr # 119, San Diego, CA 92161-0002 | 2006-08-30 |
| 1528175189 | Charles K Tuey | Pharmacist | 10272 Wateridge Circle #233, San Diego, CA 92121-5736 | 2006-08-23 |
| 1780691659 | Stacey C Nguyen | Pharmacist | 7841 Camino Huerta, San Diego, CA 92122-1833 | 2006-08-02 |
| 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.