MELISSA EILEEN FITZGIBBON


Address: 5114 63rd St, San Diego, CA 92115-1407
Phone: 7609943820

MELISSA EILEEN FITZGIBBON (NPI# 1689288136) 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) 1689288136
Entity Type Individual
Full Name MELISSA EILEEN FITZGIBBON
Credential ATS
Practice Address 5114 63rd St
San Diego
CA 92115-1407
Practice Telephone 7609943820
Mailing Telephone 7609943820
Enumeration Date 2020-09-02
Last Update Date 2020-09-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers MELISSA FITZGIBBON

NPI Name Taxonomy Address Enumeration
1114111663 Melissa A Fitzgibbon Physical Therapist 2801 Youngfield St, 150, Golden, CO 80401-2263 2007-08-28

Office Location

Street Address 5114 63RD ST
City SAN DIEGO
State CA
Zip Code 92115-1407

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790313922 Mayra Ailed Bugarin Student in an Organized Health Care Education/Training Program City Heights Family Health Center 5454, El Cajon Blvd, San Diego, CA 92115 2020-04-01
1093369878 Chang Liu Counselor 3539 College Avenue, San Diego, CA 92115 2019-07-30
1689238560 Donia Ahadian Student in an Organized Health Care Education/Training Program City Heights Family Health Center, 5454 El Cajon Blvd, San Diego, CA 92115 2019-04-26
1780157859 James Michael Sites Military Health Care Provider Uss Shoup Ddg 86, San Diego, CA 92115 2019-01-10
1780163006 Marcos Luis Sandoval Case Manager/Care Coordinator 6224 El Cajon Blvd, Suite 17, San Diego, CA 92115 2018-08-08
1437651981 Phyllis Lynette Pryor Licensed Vocational Nurse 4974 El Cajon Blvd Suite A, San Diego, CA 92115 2018-03-01
1982125605 Ellen Medical Transport Non-emergency Medical Transport (VAN) 4587 Winona Ave #5, San Diego, CA 92115 2017-07-03
1992225296 P'okot LLC Non-emergency Medical Transport (VAN) 5511 Adelaide Ave, 26, San Diego, CA 92115 2017-06-27
1578019840 Alfred Zygmunt Nowak Specialist/Technologist 6663 Reservoir Ln, San Diego, CA 92115 2016-08-28
1639534183 Kalkaal Financial Enterprise, LLC. Non-emergency Medical Transport (VAN) 5055 Collwood Blvd., Unit 108, San Diego, CA 92115 2015-12-29
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033716204 Julianne A. Demery Student in an Organized Health Care Education/Training Program Naval Base San Diego 2450 Craven Street #3300, San Diego, CA 92136-0001 2020-10-01
1649885732 Leanne Evalyn Morancie Student in an Organized Health Care Education/Training Program 4231 Balboa Ave # 1245, San Diego, CA 92117-5504 2020-09-15
1316550510 Jessica Elizabeth Knight Student in an Organized Health Care Education/Training Program 6383 Alvarado Ct, 310, San Diego, CA 92120 2020-08-26
1770195091 Julia Roccanova Student in an Organized Health Care Education/Training Program 6383 Alvarado Court, Suite 310, San Diego, CA 92120 2020-08-18
1861004392 Mareena Biju Student in an Organized Health Care Education/Training Program 10995 Evening Creek Dr E, San Diego, CA 92128-4009 2020-08-17
1184235202 Taylor G Wasko Student in an Organized Health Care Education/Training Program 4114 Swift Ave Apt 4, San Diego, CA 92104-2249 2020-08-12
1790394245 Elisa Melo Da Silva Smerik Student in an Organized Health Care Education/Training Program 3235 Loma Riviera Dr, San Diego, CA 92110-5511 2020-07-29
1215554076 Ana Mohammad-zadeh Student in an Organized Health Care Education/Training Program 17289 Russet St, San Diego, CA 92127-2135 2020-06-28
1265056048 Tilbe Yildirim Student in an Organized Health Care Education/Training Program 1963 Fourth Ave., San Diego, CA 92101 2020-06-08
1154944551 Mei Ling Milan Szeto Student in an Organized Health Care Education/Training Program 7917 Ostrow Street, Suite A, San Diego, CA 92111 2020-05-20
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Competitor

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City SAN DIEGO
Zip Code 92115

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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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