SARA A FILLMORE (NPI# 1598971616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598971616 |
| Entity Type | Individual |
| Full Name | SARA A FILLMORE |
| Practice Address |
10992 San Diego Mission Rd Rm 2704 San Diego CA 92108-2444 |
| Practice Telephone | 6196412159 |
| Mailing Telephone | 6196412159 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2014-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
10992 SAN DIEGO MISSION RD RM 2704 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-2444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902994643 | Bruce Stephen Cromer | Pharmacist | 10992 San Diego Mission Rd, 3rd Floor Pharmacy, San Diego, CA 92108-2444 | 2006-10-10 |
| 1760809826 | Mary J Russell | Physical Therapist | 10992 San Diego Mission Rd, Home Health 3rd Floor, San Diego, CA 92108-2444 | 2014-03-26 |
| 1811324593 | Sandra Jeanne Titschler | Social Worker | 10992 San Diego Mission Rd, San Diego, CA 92108-2444 | 2013-09-26 |
| 1356688840 | Kristin B Walters | Dietitian, Registered | 10992 San Diego Mission Rd, San Diego, CA 92108-2444 | 2013-01-03 |
| 1104184548 | Victoria Pham | Pediatrics | 10992 San Diego Mission Rd, Pediatrics Administration, 3rd Floor, San Diego, CA 92108-2444 | 2012-04-23 |
| 1407142243 | Curtis W. Leong | Pediatrics | 10992 San Diego Mission Rd, San Diego, CA 92108-2444 | 2011-06-20 |
| 1225327331 | Lisa Heidt Miller | Social Worker | 10992 San Diego Mission Rd, Kaiser Hospice Third Floor, San Diego, CA 92108-2444 | 2011-03-30 |
| 1609178169 | Kristopher Neal Moeckel | Physical Therapist | 10992 San Diego Mission Rd, San Diego, CA 92108-2444 | 2010-12-03 |
| 1386956134 | Stephanie Tai Lin | Case Manager/Care Coordinator | 10992 San Diego Mission Rd, Rm 2704, San Diego, CA 92108-2444 | 2010-07-09 |
| 1538394044 | Christine Shih-hsuan Tu | Family Medicine | 10992 San Diego Mission Rd, Kaiser Permanente Primary Care Administration, San Diego, CA 92108-2444 | 2009-05-28 |
| Find all providers in the same location | ||||
| 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 | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081376 | Annel Vianey Orduno | Counselor | 3517 Camino Del Rio South Suite 407, San Diego, CA 92108-4026 | 2020-10-23 |
| 1689280422 | Jason Vince Rather | Counselor | 333 Ledgewood Lane, San Diego, San Diego, CA 92114 | 2020-09-17 |
| 1851903751 | Shawn M Sta Ines | Counselor | 8775 Aero Dr Ste 230, San Diego, CA 92123-1779 | 2020-08-20 |
| 1821607599 | Tara Oneil | Counselor | 2383 Jefferson St Unit 3, San Diego, CA 92110-3007 | 2020-07-28 |
| 1881212520 | Ureclaim Therapy | Counselor | 6331 Nancy Ridge Dr # 209, San Diego, CA 92121-6204 | 2020-07-09 |
| 1326664731 | Andressa Gomes Giacomini | Counselor | 6219 Stanley Ave Apt 7, San Diego, CA 92115-4048 | 2020-06-22 |
| 1407480726 | Autumn Weidman | Counselor | 2930 Cowley Way Unit 303, San Diego, CA 92117-6859 | 2020-02-25 |
| 1881233708 | Ramin Movafaghi | Counselor | 3737 Murphy Canyon Rd, San Diego, CA 92123-4454 | 2019-12-23 |
| 1326696477 | Jennifer Erin Reimer | Counselor | 7568 Charmant Dr Apt 1917, San Diego, CA 92122-5018 | 2019-09-02 |
| 1316595739 | Ashley Champa | Counselor | 7954 Dagget St, San Diego, CA 92111-2306 | 2019-08-28 |
| 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.