TRACY JOY TRAZO KING (NPI# 1598306250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598306250 |
| Entity Type | Individual |
| Full Name | TRACY JOY TRAZO KING |
| Credential | PHARMD |
| Practice Address |
9400 Campus Point Dr La Jolla CA 92093-1350 |
| Mailing Address |
5265 Toscana Way Apt 223 San Diego CA 92122-5306 |
| Practice Telephone | 8582494000 |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2019-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 69475 | CA | Pharmacy Service Providers |
| Street Address |
9400 CAMPUS POINT DR |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92093-1350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235122961 | Jose Luis Ruiz | Physician Assistant | 9400 Campus Point Dr, La Jolla, CA 92093 | 2005-08-29 |
| 1578196416 | Eric James Jemera | Physical Therapist | 9400 Campus Point Dr, La Jolla, CA 92093-1350 | 2020-02-19 |
| 1760026140 | Janet Amy Rodelo | Occupational Therapist | 9400 Campus Point Dr, La Jolla, CA 92093-1350 | 2019-10-29 |
| 1902447782 | Samuel Martinez | Pharmacist | 9400 Campus Point Dr, La Jolla, CA 92093-1350 | 2019-10-03 |
| 1770042129 | Regents of The University of California | Clinic/Center | 9400 Campus Point Dr, La Jolla, CA 92093-1350 | 2019-03-15 |
| 1790288389 | Jonna Lynn Griggs | Physician Assistant | 9400 Campus Point Dr, La Jolla, CA 92037 | 2018-03-09 |
| 1497142293 | Yi Cai | Anesthesiology | 9400 Campus Point Dr, La Jolla, CA 92093-1350 | 2015-04-20 |
| 1811308489 | Teja Karukonda | Orthopaedic Surgery | 9400 Campus Point Dr, La Jolla, CA 92093 | 2014-05-16 |
| 1336258276 | Jennifer E Capozzi | Nurse Practitioner | 9400 Campus Point Dr, La Jolla, CA 92093 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902442908 | Forrest N Ridgway | Pharmacist | 3855 Health Sciences Drive #0845, La Jolla, CA 92093 | 2019-11-25 |
| 1578060067 | Michelle Sloan | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr #0851, La Jolla, CA 92093 | 2018-04-10 |
| 1114372471 | Kevin Ting | Internal Medicine | 9500 Gilman Dr # Mc7411, La Jolla, CA 92093 | 2016-04-24 |
| 1225490147 | Karen Tye | Student in an Organized Health Care Education/Training Program | 3960 Health Sciences Drive, La Jolla, CA 92093 | 2016-03-22 |
| 1457716615 | Christine Pulido | Student in an Organized Health Care Education/Training Program | 9500 Gilman Drive #0851, La Jolla, CA 92093 | 2015-12-15 |
| 1467830489 | Justin Arshed Shaya | Internal Medicine | 3855 Health Sciences Dr #0829, La Jolla, CA 92093 | 2015-05-11 |
| 1225425606 | Brad Hiroshi Kimura | Internal Medicine | 9500 Gilman Dr # Mc9111g, La Jolla, CA 92093 | 2015-04-23 |
| 1407241169 | Courtney Holmes Mckee | Emergency Medicine | 3855 Health Sciences Drive Mc0987, La Jolla, CA 92093 | 2015-03-31 |
| 1528488350 | Arlene Bravo | General Practice | 9500 Gilman Dr # Mc0656, La Jolla, CA 92093 | 2014-04-19 |
| 1710237391 | Chaitanya Pabbati | Psychiatry & Neurology | 9500 Gillman Drive #9116a, La Jolla, CA 92093 | 2012-09-11 |
| Find all providers in zip 92093 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427657618 | Susan Mimm Hogue | Pharmacist | 7757 Eads Ave Unit A5, La Jolla, CA 92037-4332 | 2020-10-20 |
| 1689216103 | Jaclyn Marja Jaskowiak | Pharmacist | 9452 Medical Center Dr Rm 312, La Jolla, CA 92037-1337 | 2019-10-16 |
| 1700427580 | Meredith Park | Pharmacist | 3855 Health Sciences Dr Rm 1064a, La Jolla, CA 92093-1503 | 2019-10-03 |
| 1134776222 | Nancy Thai Yam | Pharmacist | 9300 Campus Point Dr # Mc7765, La Jolla, CA 92037-1300 | 2019-08-22 |
| 1730744764 | Jeannine Louise Mcclinton-adams | Pharmacist | 9500 Gilman Dr Dept 828, La Jolla, CA 92093-2204 | 2019-05-06 |
| 1356829931 | Nathan Santos | Pharmacist | 9245 Regents Rd Unit M109, La Jolla, CA 92037-9264 | 2018-08-05 |
| 1891239869 | Richard Muus | Pharmacist | 3157 Evening Way, Unit A, La Jolla, CA 92037-1636 | 2016-12-11 |
| 1730630641 | Tiffany Pham | Pharmacist | 6067 Firwood Row, La Jolla, CA 92037-0922 | 2016-10-17 |
| 1861849465 | Olivia Ronan | Pharmacist | 8435 Via Mallorca Unit 94, La Jolla, CA 92037-2611 | 2016-05-24 |
| 1720459787 | Troy Drysdale | Pharmacist | 9888 Genesee Ave # Lj-18, La Jolla, CA 92037-1205 | 2015-10-15 |
| Find all providers in LA JOLLA | ||||
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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.