MITCHELL THOR GUDMUNDSSON (NPI# 1558503359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558503359 |
| Entity Type | Individual |
| Full Name | MITCHELL THOR GUDMUNDSSON |
| Credential | M.D. |
| Practice Address |
200 W. Arbor Drive San Diego CA 92103-8756 |
| Mailing Address |
1716 5th St Manhattan Beach CA 90266-6313 |
| Practice Telephone | 6199442347 |
| Mailing Telephone | 6199442347 |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2015-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
115317 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
200 W. ARBOR DRIVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-8756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659339745 | Smita A Desai | Internal Medicine | 200 W. Arbor Drive, #8373, San Diego, CA 92103-8373 | 2006-05-01 |
| 1942825625 | Linda Thanh Dao | Pharmacist | 200 W. Arbor Drive, San Diego, CA 92103 | 2020-06-09 |
| 1679109680 | Nicola Eva Natsis | Student in an Organized Health Care Education/Training Program | 200 W. Arbor Drive, San Diego, CA 92103-8425 | 2020-03-21 |
| 1659869956 | Alexis Tracy | Student in an Organized Health Care Education/Training Program | 200 W. Arbor Drive, San Diego, CA 92103-8425 | 2018-04-23 |
| 1912403163 | Qinwen Zhou | Student in an Organized Health Care Education/Training Program | 200 W. Arbor Drive, San Diego, CA 92103-8425 | 2018-04-04 |
| 1487107454 | Brian Hirshman | Student in an Organized Health Care Education/Training Program | 200 W. Arbor Drive, Mc Xxxx, San Diego, CA 92103-1911 | 2016-07-26 |
| 1164712576 | Scott Aaron Atkins | Radiology | 200 W. Arbor Drive, Mc 0834, San Diego, CA 92103-0834 | 2011-04-19 |
| 1205972148 | Robert K Heaton | Psychologist | 200 W. Arbor Drive, San Diego, CA 92103-0603 | 2007-01-29 |
| 1053467738 | David Feifel | Psychiatry & Neurology | 200 W. Arbor Drive, Mail Code - 8620, San Diego, CA 92103-8620 | 2007-01-26 |
| 1316037534 | David S Adler | Pharmacist | 200 W. Arbor Drive, Ucsd Medical Center, San Diego, CA 92103-8238 | 2006-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033521190 | Zachary Tyler Berman | Radiology | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2014-05-23 |
| 1386987261 | Michael Adam Taddonio | Radiology | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2013-03-29 |
| 1306112057 | Anthony Samir Tadros | Radiology | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2012-03-27 |
| 1215222757 | Quinn Colin Meisinger | Radiology | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2011-06-13 |
| 1932414034 | American Access Care of San Diego, LLC | Radiology | 995 Gateway Center Way, Suite 207, San Diego, CA 92102-4500 | 2010-08-12 |
| 1790002400 | Cristian Coroian | Radiology | 4647 Zion Ave, Department of Radiology, San Diego, CA 92120-2507 | 2010-04-21 |
| 1093963605 | Hamed Aryafar | Radiology | 200 W Arbor Dr, San Diego, CA 92103-9001 | 2008-09-08 |
| 1548416266 | Jeet Minocha | Radiology | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2008-08-13 |
| 1164682589 | Jonas W Redmond | Radiology | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2008-06-10 |
| 1821277302 | Southern California Interventional Associates, PC | Radiology | 995 Gateway Center Way, Suite 207, San Diego, CA 92102-4500 | 2007-10-31 |
| 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.