MS. JAN FRAZIER PRENTICE


Address: Va San Diego Healthcare System, 3350 La Jolla Village Drive #128, San Diego, CA 92161-0001
Phone: 8585528585

MS. JAN FRAZIER PRENTICE (NPI# 1528001757) 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) 1528001757
Entity Type Individual
Full Name MS. JAN FRAZIER PRENTICE
Credential PA-C
Practice Address Va San Diego Healthcare System
3350 La Jolla Village Drive #128
San Diego
CA 92161-0001
Mailing Address 7132 Calabria Court
#b
San Diego
CA 92122-5584
Practice Telephone 8585528585
Practice Fax Number 8585524315
Mailing Telephone 8585872501
Mailing Fax Number 8585870395
Enumeration Date 2006-06-14
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA10839 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address VA SAN DIEGO HEALTHCARE SYSTEM
3350 LA JOLLA VILLAGE DRIVE #128
City SAN DIEGO
State CA
Zip Code 92161-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154379949 Mary Alice Lacy Nurse Practitioner Va San Diego Healthcare System, 3350 La Jolla Village Drive, Mc-118, San Diego, CA 92161-0001 2006-05-04
1972012268 Jessica Lynne Lontayo Student in an Organized Health Care Education/Training Program Va San Diego Healthcare System, 3350 La Jolla Village Drive, San Diego, CA 92161-0002 2017-09-29
1457705915 Victoria Lee Clark Dietitian, Registered Va San Diego Healthcare System, 3350 La Jolla Village Dr, San Diego, CA 92161-0001 2016-04-20
1336458124 Tatiana Anastasia Chircop-rollick Psychologist Va San Diego Healthcare System, 3350 La Jolla Village Drive (116a), San Diego, CA 92161-0001 2010-09-28
1437464492 Megan Ann Paulk Audiologist Va San Diego Healthcare System, 3350 La Jolla Village Drive, San Diego, CA 92161-0001 2010-08-15
1013231067 Kathleen Ann Mcchesney Psychologist Va San Diego Healthcare System, 3350 La Jolla Village Drive, (116b), San Diego, CA 92161-0001 2010-03-19
1508098815 Shannon Marie Matsko Pharmacist Va San Diego Healthcare System, 3350 La Jolla Village Dr, San Diego, CA 92161-0001 2009-08-20
1891926515 Natalie Nicole Castriotta Psychologist Va San Diego Healthcare System, 33, San Diego, CA 92161-0001 2009-07-29
1346474848 Carl Stepnowsky Psychologist Va San Diego Healthcare System, 3350 La Jolla Village Drive (111n-1), San Diego, CA 92161-0001 2009-05-12
1245470871 Christie A. Cole Nurse Anesthetist, Certified Registered Va San Diego Healthcare System, (mc 125) 3350 La Jolla Village Drive, San Diego, CA 92161-0001 2009-02-23
Find all providers in the same location

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083213706 Courtney Kathryn Hopp Physician Assistant 4060 Fourth Ave Ste 209, San Diego, CA 92103-2120 2020-10-23
1639776503 Nathan Tuan Dinh Physician Assistant 8296 Via Escalada, San Diego, CA 92129-2223 2020-10-05
1750988671 Denise Aquino Physician Assistant 7322 Mesa College Dr Apt 7, San Diego, CA 92111-4943 2020-10-04
1962009183 Courtney Krysl Physician Assistant 14434 Corte Lampara, San Diego, CA 92129-3818 2020-10-01
1497369284 Brian Carroll Physician Assistant 7242 Melotte St, San Diego, CA 92119-1613 2020-08-31
1871104067 Satoshi Ikeda Physician Assistant 16198 Paseo Del Sur, San Diego, CA 92127-6155 2020-08-12
1760009989 Lili Tran Physician Assistant 8865 Calle Tragar, San Diego, CA 92129-2156 2020-07-03
1245857259 Kendra Roberta Witt Physician Assistant 11396 Poblado Rd, San Diego, CA 92127-1351 2020-06-25
1336766344 Brandon Scott Johnson Physician Assistant 1540 Oliver Ave Apt C, San Diego, CA 92109-5595 2020-06-25
1104441021 Kira Ann Tellache Physician Assistant 4520 Executive Dr Ste 325, San Diego, CA 92121-3087 2020-06-16
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Competitor

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City SAN DIEGO
Zip Code 92161

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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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