PASSPORT HEALTH (NPI# 1578896486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578896486 |
| Entity Type | Organization |
| Organization Name | PASSPORT HEALTH |
| Practice Address |
2525 Camino Del Rio S Ste 325 San Diego CA 92108-3784 |
| Practice Telephone | 6192933963 |
| Practice Fax Number | 6192933936 |
| Mailing Telephone | 6192933963 |
| Mailing Fax Number | 6192933936 |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-09-10 |
| Authorized Official Name | DENISE RENEE LOZARES (DIRECTOR) |
| Authorized Official Telephone | 6192933963 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376097980 | Passport Health | Public Health or Welfare | 890 Mill St Ste 301, Reno, NV 89502-1436 | 2016-08-11 |
| 1770961187 | Passport Health | Clinic/Center | 3117 Geary Blvd, San Francisco, CA 94118-3316 | 2015-05-18 |
| 1861816357 | Passport Health | Clinic/Center | 8249 W 95th St., Overland Park, KS 66212 | 2014-02-05 |
| 1942635362 | Passport Health | Clinic/Center | 6710 E Camelback Rd Ste 200, Scottsdale, AZ 85251-2031 | 2013-09-04 |
| 1184957235 | Passport Health | Clinic/Center | 921 E Fort Ave Ste 100, Baltimore, MD 21230-5135 | 2009-09-08 |
| 1154594067 | Passport Health | Community Health Worker | 600 W Cummings Park Ste 1300, Woburn, MA 01801-6376 | 2008-04-11 |
| 1205255247 | Passport Health | Clinic/Center | 2025 S Brentwood Blvd, Suite 101, Saint Louis, MO 63144-1833 | 2014-04-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PASSPORT HEALTH | 13820 Crest Hill Ln, Silver Spring, MD 20905-4470 |
| System for Award Management (SAM) Entities | PASSPORT HEALTH COLORADO | 405 Urban St Ste 320, Lakewood, CO 80228-1222 |
| Colorado Business Entities | PASSPORT HEALTH COMMUNICATIONS, INC | 720 Cool Springs Blvd #450, Franklin, TN 37067 |
| Connecticut Business Registrations | PASSPORT HEALTH COMMUNICATIONS, INC | 720 Cool Springs Blvd Ste 200, Franklin, TN 37067 |
| Indiana Business Entities | PASSPORT HEALTH COMMUNICATIONS, INC | 720 Cool Springs Blvd #450, Franklin, TN 37067 |
| Massachusetts Corporations | PASSPORT HEALTH COMMUNICATIONS, INC. | 720 Cool Springs Blvd., Suite 200, Franklin, TN 37067 |
| Massachusetts Corporations | PASSPORT HEALTH HOLDINGS, LLC | 8324 E. Hartford Dr. Ste. 200, Scottsdale, AZ 85255 |
| System for Award Management (SAM) Entities | PASSPORT HEALTH OKLAHOMA | 3330 Nw 56th St Ste 220, Oklahoma City, OK 73112-4426 |
| Street Address |
2525 CAMINO DEL RIO S STE 325 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-3784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336657501 | Ashley Taylor | Nurse Practitioner | 2525 Camino Del Rio S Ste 325, San Diego, CA 92108-3784 | 2018-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730799115 | Mark Mashike Chiropractic | Clinic/Center | 12750 Carmel Country Rd Ste A111, San Diego, CA 92130-2159 | 2020-07-31 |
| 1326507591 | Shea Family Chiropractic Apc | Clinic/Center | 11770 Bernardo Plaza Ct Ste 351, San Diego, CA 92128-2426 | 2019-03-18 |
| 1205392172 | Bay Park Acupuncture, Inc. | Clinic/Center | 5080 Camino Del Arroyo, Ste. 129, San Diego, CA 92108-4100 | 2019-02-15 |
| 1922597624 | Hospital Cemesa Roatan Inc | Clinic/Center | 4025 Camino Del Rio S Ste 341, San Diego, CA 92108-4107 | 2018-05-08 |
| 1558876813 | South America Medical Network Inc | Clinic/Center | 4025 Camino Del Rio S Ste 330, San Diego, CA 92108-4107 | 2017-12-08 |
| 1871023515 | Abi P&o Inc | Clinic/Center | 6190 Fairmount Ave Ste A, San Diego, CA 92120-3428 | 2017-06-15 |
| 1548705908 | Free Flow Health Acupuncture | Clinic/Center | 4002 Park Blvd. Ste.e, San Diego, CA 92103 | 2016-12-21 |
| 1912452087 | Oria Health and Wellness | Clinic/Center | 16150 Big Springs Way, San Diego, CA 92127-2024 | 2016-08-18 |
| 1053707208 | Connecticut General Life Insurance Company | Clinic/Center | 8620 Spectrum Center Blvd, San Diego, CA 92123-1406 | 2015-04-14 |
| 1487042198 | Mina Habibian Dmd Phd Dental Corporation | Clinic/Center | 11385 Poway Rd Ste 103, San Diego, CA 92128-5600 | 2015-01-04 |
| 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.