MR. JON RYAN O'HARE (NPI# 1588006878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588006878 |
| Entity Type | Individual |
| Full Name | MR. JON RYAN O'HARE |
| Credential | IDC |
| Practice Address |
7749 Calle Andar Carlsbad CA 92009-9227 |
| Practice Telephone | 7605856160 |
| Mailing Telephone | 7605856160 |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2013-07-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| Street Address |
7749 CALLE ANDAR |
| City | CARLSBAD |
| State | CA |
| Zip Code | 92009-9227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602798 | Aberdeen Physical Therapy Inc | Physical Therapist | 3218 Clalle Vallarta, Carlsbad, CA 92009 | 2020-09-08 |
| 1952949851 | Sandrelyn Chua | Registered Nurse | 3421 Calle Del Sur, Carlsbad, CA 92009 | 2019-12-11 |
| 1467938647 | Outshine Speech Therapy | Speech-Language Pathologist | 2647 Gateway Road Suit # 105, Carlsbad, CA 92009 | 2018-07-11 |
| 1154855906 | Tamara Chatfield | Marriage & Family Therapist | 2647 Gateway Rd., Ste. 105 #521, Carlsbad, CA 92009 | 2017-04-19 |
| 1548792039 | Harmony Hollywood, LLC | Substance Abuse Rehabilitation Facility | 830 N. Mariposa Ave, Los Angeles, CA 92009 | 2017-04-03 |
| 1649722380 | Dom Dop Van Nguyen | Pharmacist | 7440 Rancho Santa Fe Rd, Carlsbad, CA 92009 | 2016-10-28 |
| 1932575354 | Shabnam Moeini-ferdosi | Speech-Language Pathologist | 2684 Bressi Ranch Way, Carlsbad, CA 92009 | 2015-08-19 |
| 1073900858 | Thanh Luu and Tina Saw Dental Corp | Dentist | 7720 Rancho Santa Fe Road, Suite E, Carlsbad, CA 92009 | 2015-04-20 |
| 1922445873 | Harmony Hollywood, LLC | Substance Abuse Rehabilitation Facility | 832 N. Mariposa Ave, Los Angeles, CA 92009 | 2013-06-02 |
| 1982945457 | Carin Beth Hauptman | Speech-Language Pathologist | 2148 Avenida Toronja, Carlsbad, CA 92009 | 2013-03-08 |
| Find all providers in zip 92009 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699106575 | Brendan Duran | Military Health Care Provider | 2947 Unicornio St Apt A, Carlsbad, CA 92009-4441 | 2013-12-03 |
| 1982875498 | Allan B Navarro | Military Health Care Provider | 2805 Via Diego, Carlsbad, CA 92010-8347 | 2008-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547227 | Landri Acosta | Military Health Care Provider | 5075 Tranquil Way # 102, Oceanside, CA 92057-7870 | 2020-10-29 |
| 1649879537 | David Michael Soliani | Military Health Care Provider | Bld 4101 Stuart Mesa Road, Camp Pendleton, CA 92055-5584 | 2020-10-21 |
| 1801494182 | Luis Alberto Necoechea | Military Health Care Provider | 1st Recon Bn Bas, Oceanside, CA 92055 | 2020-10-09 |
| 1770180648 | Darius Lee Sean Woods | Military Health Care Provider | 6033 Sandy Shore Ct, San Diego, CA 92139-1014 | 2020-10-05 |
| 1174130744 | Daniel Carrera | Military Health Care Provider | 2645 W Canyon Ave Apt 450, San Diego, CA 92123-4700 | 2020-09-28 |
| 1316551740 | Kyle Bode Francis | Military Health Care Provider | 3149 Murray Ridge Rd, San Diego, CA 92123-2917 | 2020-09-02 |
| 1356955918 | Daniel Carr | Military Health Care Provider | 5423 Lake Murray Blvd Apt 7, La Mesa, CA 91942-1551 | 2020-09-01 |
| 1255945069 | Jeremy Lee | Military Health Care Provider | 509 Dennery Rd Apt 145, San Diego, CA 92154-8542 | 2020-08-31 |
| 1639782899 | Tyler Collin Sparks | Military Health Care Provider | 1 Mrb, Camp Pendletion, CA 92055 | 2020-08-27 |
| 1013520667 | Rashaad Brown | Military Health Care Provider | 4454 Cherokee Ave Apt 2, San Diego, CA 92116-3611 | 2020-08-24 |
| Find all providers with the same taxonomy | ||||
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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.