DR. DAWN MARIE KIM DE CASTRO-MARCEAU (NPI# 1629275912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629275912 |
| Entity Type | Individual |
| Full Name | DR. DAWN MARIE KIM DE CASTRO-MARCEAU |
| Credential | M.D. |
| Practice Address |
8701 Cuyamaca St Santee CA 92071 |
| Mailing Address |
8701 Cuyamaca St Ste 800 Santee CA 92071 |
| Practice Telephone | 6195688220 |
| Practice Fax Number | 6195688089 |
| Mailing Telephone | 6195688220 |
| Mailing Fax Number | 6195688089 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2020-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | L22464093 | MA | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | A132200 | CA | Allopathic & Osteopathic Physicians |
| N | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
L22464093 | MA | Allopathic & Osteopathic Physicians |
| Y | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
A132200 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
8701 CUYAMACA ST |
| City | SANTEE |
| State | CA |
| Zip Code | 92071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104822022 | Wendy Susan Dengerink | Family Medicine | 8701 Cuyamaca St, Santee, CA 92071 | 2005-06-24 |
| 1336758408 | Sharp Rees-stealy Medical Group Inc | Durable Medical Equipment & Medical Supplies | 8701 Cuyamaca St, Santee, CA 92071 | 2020-07-24 |
| 1578046678 | Jennifer Landini | Physical Therapist | 8701 Cuyamaca St, Santee, CA 92071 | 2018-09-13 |
| 1992299192 | Sydney Elizabeth Barnes | Speech-Language Pathologist | 8701 Cuyamaca St, Santee, CA 92071 | 2018-06-20 |
| 1760983092 | Ashley M Chiarappa | Obstetrics & Gynecology | 8701 Cuyamaca St, Santee, CA 92071 | 2018-02-22 |
| 1114433687 | Amro Mahmoud | Internal Medicine | 8701 Cuyamaca St, Santee, CA 92071 | 2017-12-20 |
| 1497264519 | Amber Alkema | Physical Therapist | 8701 Cuyamaca St, Santee, CA 92071 | 2017-09-20 |
| 1396269031 | Cara Nutt | Speech-Language Pathologist | 8701 Cuyamaca St, Santee, CA 92071 | 2017-08-02 |
| 1477089175 | Kathleen Rachelle Outcalt | Family Medicine | 8701 Cuyamaca St, Santee, CA 92071 | 2017-05-02 |
| 1174905855 | Amber Jo Ortega | Family Medicine | 8701 Cuyamaca St, Santee, CA 92071 | 2015-06-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487277307 | Sjc Management and Consulting Corp | Pharmacy | 300 Lantern Crest Way Ste A, Santee, CA 92071 | 2020-05-27 |
| 1225662596 | Sharp Healthcare | Pharmacy | 8701 Cuyamaca Street, Santee, CA 92071 | 2020-02-26 |
| 1962975920 | Santee Community Pharmacy, Inc. | Pharmacy | 9836 Magnolia Ave., Santee, CA 92071 | 2019-01-02 |
| 1073095428 | Rohshana Plunkett | Dental Assistant | 9717 Mission Gorge Rd, Santee, CA 92071 | 2018-09-02 |
| 1285144071 | Victoria Koci | Behavioral Analyst | 10636 Queen Jessica Ln, Santee, CA 92071 | 2017-10-05 |
| 1699214478 | Glenn C. Ashmore Dds, Inc. | Dentist | 9480 Cuyamaca Street, San Diego, CA 92071 | 2017-02-14 |
| 1609328517 | Daniel Burciaga | Specialist/Technologist | 9915 N Magnolia Ave, Santee, CA 92071 | 2016-10-26 |
| 1861940355 | Carlos Garcia Jr. | Technician, Other | 10445 Mast Blvd # 11, Santee, CA 92071 | 2016-09-14 |
| 1962855205 | Universal Medical Solutions LLC | Durable Medical Equipment & Medical Supplies | 10020 Prospect Ave Ste A1, Santee, CA 92071 | 2016-07-22 |
| 1568871861 | Mark Adam Frens | Physical Therapist | 9236 Lapeer Ct, Santee, CA 92071 | 2014-08-12 |
| Find all providers in zip 92071 | ||||
| Taxonomy Code | 207WX0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Ophthalmic Plastic and Reconstructive Surgery |
| A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. |
| Notes: Source: American Academy of Ophthalmology, 2015. www.aao.org [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366941296 | Guy G Massry, Md | Ophthalmology | 150 N Robertson Blvd Ste 314, Beverly Hills, CA 90211-2145 | 2018-02-06 |
| 1316483225 | Catherine Cox, Md, Inc | Ophthalmology | 711 D St Ste 102, San Rafael, CA 94901-3703 | 2017-01-17 |
| 1841734084 | Marlon Maus | Ophthalmology | 2616 Etna St, Berkeley, CA 94704-3409 | 2016-12-07 |
| 1538399761 | California Eye and Facial Plastic Surgery | Ophthalmology | 1812 Port Abbey Pl, Newport Beach, CA 92660-5310 | 2009-07-22 |
| 1790943355 | Roya Ghafouri | Ophthalmology | 9735 Wilshire Blvd Ste 421, Beverly Hills, CA 90212-2113 | 2008-05-29 |
| 1134395205 | Jeffrey Joseph | Ophthalmology | 180 Newport Center Dr Ste 158, Newport Beach, CA 92660-0934 | 2008-05-07 |
| 1013940519 | Medical Vision Technology Ophthalmology Grp Inc. | Ophthalmology | 1700 Alhambra Blvd, Suite 202, Sacramento, CA 95816-7050 | 2006-07-08 |
| 1609809144 | Medical Vision Technology Ophthalmology Grp, Inc | Ophthalmology | 1830 Sierra Gardens Dr, Suite 100, Roseville, CA 95661-2942 | 2006-07-08 |
| 1841292257 | Jeremiah Tao | Ophthalmology | 850 Health Sciences Rd, Irvine, CA 92697-4375 | 2005-08-15 |
| 1053938175 | Kelsey Andrea Roelofs | Ophthalmology | 100 Stein Plz, Los Angeles, CA 90095-7065 | 2020-07-06 |
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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.