KAYDEE BORK


Address: 11515 El Camino Real, Suit 150, San Diego, CA 92130
Phone: 8587201440

KAYDEE BORK (NPI# 1669579850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669579850
Entity Type Individual
Full Name KAYDEE BORK
Other Name KAYDEE ONEILL
Credential PAC
Practice Address 11515 El Camino Real
Suit 150
San Diego
CA 92130
Practice Telephone 8587201440
Practice Fax Number 8585097738
Mailing Telephone 8587201440
Mailing Fax Number 8585097738
Enumeration Date 2006-09-20
Last Update Date 2013-08-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 11515 EL CAMINO REAL
SUIT 150
City SAN DIEGO
State CA
Zip Code 92130

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427453182 Barbara Hitomi Tanaka Nurse Practitioner 11515 El Camino Real, Suite 100, San Diego, CA 92130-3038 2014-10-23
1730582826 Megan Bendinelli Nurse Practitioner 11515 El Camino Real, Suite 100, San Diego, CA 92130-3038 2014-10-02
1205163722 Acupuncture Fertility Center, Inc. Clinic/Center 11515 El Camino Real, Suite 150, San Diego, CA 92130-3038 2009-11-04
1316180920 Jeneanne Paden, L.ac. Acupuncturist 11515 El Camino Real, Ste 160, San Diego, CA 92130-3038 2009-04-13
1184892002 L. Michael Kettel Obstetrics & Gynecology 11515 El Camino Real, Suite 100, San Diego, CA 92130-3038 2008-02-13
1962670893 William P. Hummel Obstetrics & Gynecology 11515 El Camino Real, Suite 100, San Diego, CA 92130-3038 2008-02-13
1447434055 Renee Marni Walker Acupuncturist 11515 El Camino Real, Suite 160, San Diego, CA 92130-3038 2007-12-19
1801015227 Patti A Bennett-deguzman Social Worker 11515 El Camino Real, Suite 160, San Diego, CA 92130-3038 2007-04-24
1528140928 Susanna Jung-a Park Specialist 11515 El Camino Real, Suite 100, San Diego, CA 92130-2045 2006-10-19
1417037680 Gilbert Wesley Lee Surgery 11515 El Camino Real, Suite 150, San Diego, CA 92130 2006-10-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629692397 Tlc Family Therapy Marriage & Family Therapist 5965 Village Way. Suite 105 #112, San Diego, CA 92130 2020-05-29
1447746169 Jack Perlov Psychiatry & Neurology 3535 Caminito El Rincon, Unit 268, San Diego, CA 92130 2018-07-05
1326551003 Theotokos, LLC Pharmacy 5550 Carmel Mountain Rd Ste 111, San Diego, CA 92130 2017-11-16
1154879146 Halie Hommes Occupational Therapist 12250 El Camino Real Ste 250, San Diego, CA 92130 2016-09-19
1790232015 Coastal Skin and Eye Institute, Inc. Ophthalmology 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 2016-09-02
1720534951 Nosti and Rygg Dental Corporation Dentist 5550 Carmel Mountain Road, Ste 200, San Diego, CA 92130 2016-08-28
1831644053 Marco Savittieri Dentist 3715 Ruette De Vl, San Diego, CA 92130 2016-08-17
1336508621 Discovery Practice Management, Inc Psychiatric Residential Treatment Facility 11455 Camino Real, Ste 360, San Diego, CA 92130 2016-02-16
1427434679 Coast Pediatrics Carmel Valley Pediatrics 5965 Village Drive, Suite 201, San Diego, CA 92130 2015-08-10
1659753762 T Sidal Dds Md Inc Dentist 12395 El Camino Real, Suite 304, Torrey Pines Oral & Maxillofacial Surgery, San Diego, CA 92130 2015-06-25
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083213706 Courtney Kathryn Hopp Physician Assistant 4060 Fourth Ave Ste 209, San Diego, CA 92103-2120 2020-10-23
1639776503 Nathan Tuan Dinh Physician Assistant 8296 Via Escalada, San Diego, CA 92129-2223 2020-10-05
1750988671 Denise Aquino Physician Assistant 7322 Mesa College Dr Apt 7, San Diego, CA 92111-4943 2020-10-04
1962009183 Courtney Krysl Physician Assistant 14434 Corte Lampara, San Diego, CA 92129-3818 2020-10-01
1497369284 Brian Carroll Physician Assistant 7242 Melotte St, San Diego, CA 92119-1613 2020-08-31
1871104067 Satoshi Ikeda Physician Assistant 16198 Paseo Del Sur, San Diego, CA 92127-6155 2020-08-12
1760009989 Lili Tran Physician Assistant 8865 Calle Tragar, San Diego, CA 92129-2156 2020-07-03
1245857259 Kendra Roberta Witt Physician Assistant 11396 Poblado Rd, San Diego, CA 92127-1351 2020-06-25
1336766344 Brandon Scott Johnson Physician Assistant 1540 Oliver Ave Apt C, San Diego, CA 92109-5595 2020-06-25
1104441021 Kira Ann Tellache Physician Assistant 4520 Executive Dr Ste 325, San Diego, CA 92121-3087 2020-06-16
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Competitor

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City SAN DIEGO
Zip Code 92130

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Dataset Information

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.

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