GABRIEL SCHNICKEL (NPI# 1619111440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619111440 |
Entity Type | Individual |
Full Name | GABRIEL SCHNICKEL |
Credential | MD |
Practice Address |
4510 Executive Drive Plaza 7 San Diego CA 92121-3021 |
Mailing Address |
Po Box 232410 San Diego CA 92193-2410 |
Practice Telephone | 8586576487 |
Enumeration Date | 2009-04-23 |
Last Update Date | 2017-09-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 204F00000X | Transplant Surgery | A83329 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00A833290 | 05 |
Street Address |
4510 EXECUTIVE DRIVE PLAZA 7 |
City | SAN DIEGO |
State | CA |
Zip Code | 92121-3021 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386636348 | Charles N Rudolph | Internal Medicine | 4510 Executive Drive, Suite 125, San Diego, CA 92121 | 2005-08-16 |
1629628730 | Hannah Rovazzini | Marriage & Family Therapist | 4510 Executive Drive, San Diego, CA 92121 | 2019-09-19 |
1972710663 | Kambiz Kohani | Dentist | 4510 Executive Drive, Suite #205, San Diego, CA 92121 | 2007-05-16 |
1356401566 | Bonebuilders Medical Clinic | Orthopaedic Surgery | 4510 Executive Drive, Suite 125, San Diego, CA 92121 | 2006-12-11 |
1205885902 | Kevin Wayne Broder | Plastic Surgery | 4510 Executive Drive, Suite 200, San Diego, CA 92121 | 2006-05-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
Find all providers in zip 92121 |
Taxonomy Code | 204F00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Transplant Surgery |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558446351 | Jeffrey Burke Halldorson | Transplant Surgery | 8010 Frost St Ste 510, San Diego, CA 92123-4284 | 2006-10-27 |
1104861947 | Kristin L Mekeel | Transplant Surgery | 200 W Arbor Dr Dept 8401, Suite 2-280, San Diego, CA 92103-8401 | 2006-06-17 |
1447443809 | Paul Alvord | Transplant Surgery | 4033 3rd Ave, Suite 204, San Diego, CA 92103-2117 | 2007-08-20 |
1417091992 | Kmd Medical Group, Inc. | Transplant Surgery | 7910 Frost St, Suite 250, San Diego, CA 92123-2771 | 2007-02-16 |
1770627259 | Daniel Kosoy | Transplant Surgery | 7901 Frost St, San Diego, CA 92123-2701 | 2007-02-16 |
1740382993 | Regents of The University of California - Ucsd Medical Group | Transplant Surgery | 200 West Arbor Dr, Mc8201-ucsd Medical Group, Provider Enrollment Dept., San Diego, CA 92103-1911 | 2006-09-01 |
1972593010 | Barry J Browne | Transplant Surgery | 7910 Frost St, Ste 250, San Diego, CA 92123-2771 | 2005-10-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063829083 | Amit Javed | Transplant Surgery | Ucsf 505 Parnassus Ave M896, Campus Box 0780, San Francisco, CA 94143-0780 | 2014-07-22 |
1699039990 | Massimiliano Tuveri | Transplant Surgery | Via Delle Rondini 15, Cagliari, CA 09126 | 2012-07-02 |
1457643595 | Neal Martin Mineyev | Transplant Surgery | 2233 Stockton Blvd., Housestaff Building Room 2025, Sacramento, CA 95817 | 2011-05-09 |
1790946895 | Ahmad Abou Abbass | Transplant Surgery | 26732 Crown Valley Pkwy Ste 351, Mission Viejo, CA 92691 | 2008-06-20 |
1225238538 | Khoa Thomas Anh Pham | Transplant Surgery | 750 Welch Rd Ste 319, Palo Alto, CA 94304-1510 | 2007-07-24 |
1356541338 | Raj Mittal | Transplant Surgery | 3400 Lomita Blvd Ste 200, Torrance, CA 90505-4980 | 2007-07-19 |
1578760633 | Ayman Al Harakeh | Transplant Surgery | 200 Jose Figueres Ave Ste 225, San Jose, CA 95116 | 2007-06-29 |
1063622744 | Ali Cheaito | Transplant Surgery | 11333 N Sepulvelda Blvd, Mission Hills, CA 91345-1116 | 2007-05-23 |
1417078882 | Aloke Kumar Mandal | Transplant Surgery | 3110 W Lake Center Dr, Ca152-0243, Santa Ana, CA 92704-6917 | 2007-04-03 |
1508909466 | California Pacific Specialty Services | Transplant Surgery | 2302 Fillmore St, Suite A, San Francisco, CA 94115-1813 | 2007-02-14 |
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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.