JUDY CAROL (NPI# 1619360120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619360120 |
| Entity Type | Organization |
| Organization Name | JUDY CAROL |
| Practice Address |
3561 Quince St San Diego CA 92104-4819 |
| Practice Telephone | 6192835816 |
| Enumeration Date | 2015-03-07 |
| Last Update Date | 2015-07-28 |
| Authorized Official Name | JUDY CAROL (OCCUPATIONAL THERAPY ASSISTANT) |
| Authorized Official Telephone | 6193250154 |
| Authorized Official Credential | COTA/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1705 | CA | Nursing & Custodial Care Facilities |
| Street Address |
3561 QUINCE ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92104-4819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750933610 | Hinderberger Dental Corporation | Dentist | 2050 El Cajon Boulevard, San Diego, CA 92104 | 2019-07-11 |
| 1912487265 | Graham Ashton Harris | Dentist | 2310 Craven Street, Bldg 3230, Fpo, AA 92104 | 2018-08-16 |
| 1700393485 | Christian Jacot | Occupational Therapy Assistant | 3128 Nile Street, San Diego, CA 92104 | 2018-01-04 |
| 1316452931 | Enrico Resurreccion Santos | Dental Hygienist | 2310 Craven St. Bldg. 3230, San Diego, CA 92104 | 2017-12-05 |
| 1164940789 | Robert Brian Damone | Acupuncturist | 3370 29th Street, San Diego, CA 92104 | 2017-09-04 |
| 1780100636 | Nicole Palacios | Counselor | 4170 Texas Street, Apt 1, San Diego, CA 92104 | 2017-08-22 |
| 1063938587 | Indie C Oliver Landrum | Case Manager/Care Coordinator | 2220 Broadway, San Diego, CA 92104 | 2017-08-16 |
| 1669829008 | Krystah Lynn Smith | Doula | 3370 Cherokee Ave, Unit 43, San Diego, CA 92104 | 2016-05-16 |
| 1063871853 | Holly Nicole Hinderberger | Dentist | 2050 El Cajon Blvd, San Diego, CA 92104 | 2016-02-22 |
| 1316336258 | Jorge E Talavera | Military Health Care Provider | 3875 Florida St Apt 2, San Diego, CA 92104 | 2015-01-15 |
| Find all providers in zip 92104 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336503150 | Jennifer Nichole Dennison | Skilled Nursing Facility | 12400 High Bluff Dr Ste 100, San Diego, CA 92130-3077 | 2016-04-07 |
| 1730578154 | Roxanne Ferrer | Skilled Nursing Facility | 8029 Calico St, San Diego, CA 92126 | 2015-01-22 |
| 1043609530 | Shipra Sethi | Skilled Nursing Facility | 10850 Sabre Hill Dr Unit 235, San Diego, CA 92128-4120 | 2015-01-21 |
| 1962816140 | Rehab Care | Skilled Nursing Facility | 7335 Park Village Rd, San Diego, CA 92129-4540 | 2014-06-17 |
| 1255609772 | Care With Dignity Healthcare | Skilled Nursing Facility | 9474 Chesapeake Dr, Suite 907, San Diego, CA 92123-1047 | 2011-12-12 |
| 1356584882 | Jenna Bre Marquez | Skilled Nursing Facility | 3373 Kearny Villa Ln, San Diego, CA 92123-1911 | 2009-04-14 |
| 1619193729 | Linda Vista Manor, Inc. | Skilled Nursing Facility | 7675 Family Cir, San Diego, CA 92111-5304 | 2007-04-17 |
| 1912028598 | Uvalde County Hospital Authority | Skilled Nursing Facility | 138 S Fm 1329, San Diego, TX 78384-3925 | 2007-04-02 |
| 1336236496 | Care With Dignity Healthcare, Inc. | Skilled Nursing Facility | 8060 Frost St, San Diego, CA 92123-2703 | 2006-10-09 |
| 1518063437 | Villa Rancho Bernardo Health Care LLC | Skilled Nursing Facility | 15720 Bernardo Center Drive, San Diego, CA 92127 | 2006-09-16 |
| 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.