MS. KEREN MIREYA LEMAS (NPI# 1497927404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497927404 |
| Entity Type | Individual |
| Full Name | MS. KEREN MIREYA LEMAS |
| Credential | IDC |
| Practice Address |
2450 Craven St San Diego CA 92136-5599 |
| Practice Telephone | 6195568114 |
| Practice Fax Number | 6195569489 |
| Mailing Telephone | 6195568114 |
| Mailing Fax Number | 6195569489 |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
| Street Address |
2450 CRAVEN ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92136-5599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649276288 | Jennifer Elizabeth Tonge-martin | Nurse Practitioner | 2450 Craven St, San Diego, CA 92136-5599 | 2005-06-27 |
| 1699070987 | Christopher James Tilley | Military Health Care Provider | 2450 Craven St, Bldg 3300, San Diego, CA 92136-5599 | 2011-01-18 |
| 1790089910 | Curtis Ryan Stubblefield | Physician Assistant | 2450 Craven St, Branch Health Clinic Navla Base San Diego, San Diego, CA 92136-5599 | 2011-01-03 |
| 1245542364 | Kimberly Leeniese Chavez | Military Health Care Provider | 2450 Craven St, Branch Medical Clinic Naval Station Bldg 3300, San Diego, CA 92136-5599 | 2010-07-06 |
| 1518118546 | Estrellita Delrosar Edmond | Military Health Care Provider | 2450 Craven St, San Diego, CA 92136 | 2008-10-08 |
| 1043486418 | Joshua David French | Military Health Care Provider | 2450 Craven St, San Diego, CA 92136-5599 | 2008-05-05 |
| 1144496670 | Tijani Bamidele Abdulsalam | Military Health Care Provider | 2450 Craven St, San Diego, CA 92136-5599 | 2008-05-05 |
| 1013195718 | Carletus M Patrick | Military Health Care Provider | 2450 Craven St, San Diego, CA 92136-5599 | 2008-02-05 |
| 1326132754 | Suriti Kundu | Family Medicine | 2450 Craven St, Branch Medical Clinic Naval Base, San Diego, CA 92136-5599 | 2006-10-02 |
| 1124125984 | Naval Medical Center San Diego | Military/U.S. Coast Guard Pharmacy | 2450 Craven St, Bldg 3300, San Diego, CA 92136-5599 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467930164 | Alexa Clifton | Student in an Organized Health Care Education/Training Program | 2525 Callagan Hwy, Fpo, AA 92136 | 2018-08-03 |
| 1235501321 | Family Optometric Associates of California, Inc. | Optometrist | 2260 Callahan Hwy, Bldg 3187-a, San Diego, CA 92136 | 2015-10-28 |
| 1457720427 | Andres Bargados Santamaria IIi | Military Health Care Provider | 116 Cummings Rd, San Diego, CA 92136 | 2015-09-21 |
| 1932470374 | Robert Bishop Beedles Jr. | Military Health Care Provider | 3380 Sturtevant St, Bldg 57 Second Floor, San Diego, CA 92136 | 2012-01-17 |
| 1083771877 | Brianna Leigh Rupp | General Practice | Uss Tarawa Lha 1 Fpo Ap 96622-1600, San Diego, CA 92136 | 2007-01-02 |
| 1396814836 | Alberia Joseph Davis | Military Health Care Provider | Pcd Sampson (ddg-102), 3975 Norman Scott Rd, San Diego, CA 92136 | 2006-11-07 |
| 1831275866 | Roslyn Jones Jackson | Nurse Practitioner | 2450 Craven Streeet, San Diego, CA 92136 | 2006-10-31 |
| 1699743534 | Mark L Williamson | Military Health Care Provider | 3325 Senn Road, Comdesron One Building 55 Second Floor, San Diego, CA 92136 | 2006-03-08 |
| 1467423335 | John M. Hintz | Psychologist | Branch Medical Clinic, Naval Station, San Diego, CA 92136 | 2006-01-30 |
| 1659341089 | Kenichi Carrigan | Preventive Medicine | 3235 Albacore Alley, San Diego, CA 92136 | 2006-01-26 |
| Find all providers in zip 92136 | ||||
| Taxonomy Code | 1710I1003X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Medical Technicians |
| An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians. |
| Notes: Source: Air Force Surgeon General Office [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093124398 | Benjamin Ryan Foy | Military Health Care Provider | 2784 Hornet Way, San Diego, CA 92106-6421 | 2014-08-12 |
| 1346552064 | Jeffrey Thomas Gilbert | Military Health Care Provider | 3841 Colina Dorado Dr, Apartment G108, San Diego, CA 92124 | 2010-07-10 |
| 1467674150 | John Dudley Harris Jr. | Military Health Care Provider | 33000 Nixie Way Bldg 50, San Diego, CA 92147-5101 | 2007-05-03 |
| 1730157736 | Alfredo Alcalaesparza | Military Health Care Provider | 2211 Pacific Beach Dr, San Diego, CA 92109-5626 | 2006-03-08 |
| 1447606322 | Jeffrey Tyler Whitson | Military Health Care Provider | 34101 Farenholt Ave, Building 14, San Diego, CA 92134-7000 | 2016-05-10 |
| 1689873192 | Keith Robert Davis | Military Health Care Provider | 140 Sylvester Rd, Uss Topeka (ssn 754) Fpo Ap 96679-2410, San Diego, CA 92106-3521 | 2007-07-13 |
| 1740481571 | Cindy S Cruzan | Military Health Care Provider | 34101 Farenholt Ave, San Diego, CA 92134-7000 | 2007-05-30 |
| 1932169380 | Shirley Hovlid | Military Health Care Provider | 2650 Stockton Rd, San Diego, CA 92106-6000 | 2006-03-27 |
| 1851368229 | Carlos M. Coleman | Military Health Care Provider | 34101 Farenholt Ave, Nshs-sd Idc Dept, San Diego, CA 92134-7000 | 2006-03-03 |
| 1023085883 | Anthony Petrone Jr. | Military Health Care Provider | 140 Sylvester Rd, San Diego, CA 92106-3521 | 2006-03-01 |
| 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.