KILEY SAN MARTIN (NPI# 1639210958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639210958 |
| Entity Type | Individual |
| Full Name | KILEY SAN MARTIN |
| Credential | CADC |
| Practice Address |
7200 Parkway Dr Suite 113 La Mesa CA 91942-1534 |
| Practice Telephone | 6195890552 |
| Practice Fax Number | 6195890205 |
| Mailing Telephone | 6195890552 |
| Mailing Fax Number | 6195890205 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
A8402702 | CA | Behavioral Health & Social Service Providers |
| Street Address |
7200 PARKWAY DR SUITE 113 |
| City | LA MESA |
| State | CA |
| Zip Code | 91942-1534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386603827 | Paul Howe Van Horne | Dentist | 7200 Parkway Dr, Ste 115, La Mesa, CA 91942-1534 | 2006-03-22 |
| 1790957009 | Melanie Purificacion Pajimula | Pharmacy Technician | 7200 Parkway Dr, Suite 104b, La Mesa, CA 91942-1534 | 2008-03-26 |
| 1154462489 | William Wooton | Counselor | 7200 Parkway Dr, Suite 113, La Mesa, CA 91942-1534 | 2007-02-09 |
| 1922149269 | Sean O'hara | Psychologist | 7200 Parkway Dr, Suite 113, La Mesa, CA 91942-1534 | 2007-02-09 |
| 1326086307 | Bruce V Figuered | Psychologist | 7200 Parkway Dr, Suite 113, La Mesa, CA 91942-1534 | 2006-06-03 |
| 1861439382 | Kent B Layton | Psychologist | 7200 Parkway Dr, Suite 113, La Mesa, CA 91942-1534 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
| Find all providers in zip 91942 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568973121 | Silva Family Therapy | Counselor | 8280 La Mesa Blvd Ste 7, La Mesa, CA 91942-6208 | 2017-10-22 |
| 1376906826 | Alexandra Valdez | Counselor | 8708 Mellmanor Dr, La Mesa, CA 91942-3152 | 2016-04-01 |
| 1235508615 | Mcalister Institute for Treatment and Education, Inc. | Counselor | 4495 Dale Ave, Suite 100, La Mesa, CA 91941-6206 | 2015-09-16 |
| 1598143588 | Shawn Norton | Counselor | 4841 Jessie Ave Apt 17, La Mesa, CA 91942-8659 | 2015-05-11 |
| 1902228521 | Jamila Mahfudh | Counselor | 7474 El Cajon Blvd, La Mesa, CA 91942-7420 | 2014-01-16 |
| 1881999423 | Dale Robert Riley | Counselor | 7510 Orien Ave, La Mesa, CA 91941-6113 | 2011-01-12 |
| 1174838700 | Mcalister Instituste | Counselor | 7800 University Ave, Suite A-1, La Mesa, CA 91942-4980 | 2010-08-06 |
| 1891018081 | Kassandra Jeannette Kelton | Counselor | 7571 Sturgess Ave, La Mesa, CA 91941-6119 | 2010-03-02 |
| 1316115702 | Arthur Gomez | Counselor | 3533 Trophy Dr, La Mesa, CA 91941-8038 | 2008-02-19 |
| 1922286608 | Gwendolyn Y Mccleod | Counselor | 7487 Mohawk St Apt 39, La Mesa, CA 91941-3458 | 2008-02-05 |
| Find all providers in LA MESA | ||||
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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.