DR. JOANNE MCMANAMAN


Address: 4405 Vandever Ave, San Diego, CA 92120
Phone: 8669402218

DR. JOANNE MCMANAMAN (NPI# 1528038205) 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) 1528038205
Entity Type Individual
Full Name DR. JOANNE MCMANAMAN
Other Name DR. JOANNE SUTTON
Credential M.D.
Practice Address 4405 Vandever Ave
San Diego
CA 92120
Mailing Address Po Box 60447
Charlotte
NC 28260-0447
Practice Telephone 8669402218
Practice Fax Number 6195166025
Mailing Telephone 8442668268
Enumeration Date 2006-01-25
Last Update Date 2020-10-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0207X Pediatrics
Specialization: Pediatric Hematology-Oncology
2010-00497 NC Allopathic & Osteopathic Physicians
N 2080P0207X Pediatrics
Specialization: Pediatric Hematology-Oncology
C137924 CA Allopathic & Osteopathic Physicians
N 2080P0207X Pediatrics
Specialization: Pediatric Hematology-Oncology
020-38813 WI Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
4405 Vandever Ave, San Diego, CA 921203315 8669402218 6195166025

Office Location

Street Address 4405 VANDEVER AVE
City SAN DIEGO
State CA
Zip Code 92120

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679553101 Jennifer Lin Khoe Surgery 4405 Vandever Ave, San Diego, CA 92120-3315 2006-01-19
1174162515 Yana Kalendareva Pharmacist 4405 Vandever Ave, San Diego, CA 92120-3315 2020-01-02
1063977262 Tiffany Cheng Pharmacist 4405 Vandever Ave, San Diego, CA 92120-3315 2019-02-01
1982182226 Cheryl Z Bergman Respiratory Therapist, Registered 4405 Vandever Ave, San Diego, CA 92120-3315 2018-07-30
1518445832 Marina Lenkov Respiratory Therapist, Registered 4405 Vandever Ave, San Diego, CA 92120-3315 2018-07-30
1841739646 Denise Le Pharmacist 4405 Vandever Ave, 1st Floor Pharmacy, San Diego, CA 92120-3315 2017-02-14
1679011670 Quynhhuong Dao Pharmacist 4405 Vandever Ave, 1st Floor Pharmacy, San Diego, CA 92120-3315 2017-02-09
1790223212 Kaiser Special Hospital 4405 Vandever Ave, San Diego, CA 92120-3315 2017-02-03
1750768214 Michelle Malilim Pharmacist 4405 Vandever Ave, San Diego, CA 92120-3315 2015-05-04
1710396585 Phuong Thao Do Pharmacist 4405 Vandever Ave, San Diego, CA 92120-3315 2014-08-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316550510 Jessica Elizabeth Knight Student in an Organized Health Care Education/Training Program 6383 Alvarado Ct, 310, San Diego, CA 92120 2020-08-26
1770195091 Julia Roccanova Student in an Organized Health Care Education/Training Program 6383 Alvarado Court, Suite 310, San Diego, CA 92120 2020-08-18
1225593601 Truself Training, Inc Clinic/Center 5125 Waring Road, San Diego, CA 92120 2019-02-09
1508381799 Antin Sachs In Home Supportive Care 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 2017-08-08
1588186415 Matthew B Wilbat Behavioral Analyst 6851 Alvarado Rd., #17, San Diego, CA 92120 2017-07-12
1548782923 Mori Khatibzadeh Dds Inc. Clinic/Center 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 2017-07-07
1306379359 Ken Samith Oerding Nurse Practitioner 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 2017-04-06
1396134409 Debra Michele Stern-ellis Social Worker 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 2015-01-13
1821494717 Shohreh Tourian Dentist 7451 Mission Gorge Road, San Diego, CA 92120 2014-11-05
1184049215 Charles Yin Counselor 6153 Fairmount Ave Suite #260, San Diego, CA 92120 2014-02-26
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Taxonomy Information

Taxonomy Code 2080P0207X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Hematology-Oncology

Taxonomy Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447527833 Nicholas Joseph Gloude Pediatrics 3010 Childrens Way Fl 2, San Diego, CA 92123-4223 2011-11-29
1104261502 Katherine Clark Pehlivan Pediatrics 3010 Childrens Way # 2-west, San Diego, CA 92123-4223 2013-04-30
1154662583 Maria Paula Aristizabal Pediatrics 3010 Childrens Way, 2-west, San Diego, CA 92123-4223 2013-03-11
1326315599 Jennifer Caroline Yu Pediatrics 3010 Childrens Way, 2-west, San Diego, CA 92123-4223 2011-11-16
1568510543 Pamela J. Lammers Pediatrics 4647 Zion Ave, San Diego, CA 92120-2507 2007-01-08
1962550939 Wellington Loh Jr. Pediatrics 4647 Zion Ave, San Diego, CA 92120-2507 2007-01-08
1306900022 Ralph Charles Pene Pediatrics 34800 Bob Wilson Drive, San Diego, CA 92134 2006-12-20
1255403879 Hyunah Ahn Pediatrics 3010 Childrens Way, 2-west, San Diego, CA 92123-4223 2006-11-15
1245302561 William Delbert Roberts Pediatrics 3010 Childrens Way, 2-west, San Diego, CA 92123-4223 2006-11-14
1922179779 Deborah Ellen Schiff Pediatrics 3010 Childrens Way, 2-west, San Diego, CA 92123-4223 2006-11-13
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Competitor

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City SAN DIEGO
Zip Code 92120

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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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