CALIFORNIA DERMATOLOGY & CLINICAL RESEARCH INSTITUTE (NPI# 1699198788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699198788 |
Entity Type | Organization |
Organization Name | CALIFORNIA DERMATOLOGY & CLINICAL RESEARCH INSTITUTE |
Practice Address |
561 Saxony Pl Suite 102 Encinitas CA 92024-7700 |
Practice Telephone | 7602033839 |
Practice Fax Number | 7602033840 |
Mailing Telephone | 7602033839 |
Mailing Fax Number | 7602033840 |
Enumeration Date | 2014-01-27 |
Last Update Date | 2014-01-27 |
Authorized Official Name | DR. STACY SMITH (PRESIDENT) |
Authorized Official Telephone | 7602033839 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
G65407 | CA | Ambulatory Health Care Facilities |
Street Address |
561 SAXONY PL SUITE 102 |
City | ENCINITAS |
State | CA |
Zip Code | 92024-7700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780651760 | Stacy R. Smith | Dermatology | 561 Saxony Pl, Suite 102, Encinitas, CA 92024-7700 | 2006-03-08 |
1083737613 | Andrea Cole Raub | Family Medicine | 561 Saxony Pl, Suite 101, Encinitas, CA 92024 | 2007-04-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326688672 | Erika S Roark | Nurse Practitioner | 754 Bonita Drive, Encinitas, CA 92024 | 2020-01-14 |
1871064279 | Elana Miller | Physical Therapist | 285 N El Camino Real Ste 202, Encinitas, CA 92024 | 2018-12-10 |
1811478654 | Aton Center, Inc. | Substance Abuse Rehabilitation Facility | 3238 Country Rose Cir, Encinitas, CA 92024 | 2018-08-28 |
1124508296 | Hardison Medical Corporation | Family Medicine | 2210 Encinitas Blvd Ste N, Encinitas, CA 92024 | 2018-08-18 |
1326544990 | Jamin Sarah Sylvada | Midwife | 1141 Balour Drive, Encinitas, CA 92024 | 2018-04-03 |
1457856445 | Stephanie Yarnell | Optometrist | 385 Via Montanosa, Encinitas, CA 92024 | 2018-03-29 |
1972002954 | J Schaefer Dds Inc | Clinic/Center | 355 Santa Fe Drive Suite 100, Encinitas, CA 92024 | 2018-02-06 |
1538691654 | Dr. James C. Lajevic D.m.d. Correct Choice Dental | Point of Service | 199 N El Camino Real Blvd, Suite E, Encinitas, CA 92024 | 2017-03-29 |
1649720566 | Marcia A. Rebelo | Social Worker | 187 Calle Magdalena Ste 114, Encinitas, CA 92024 | 2016-10-04 |
1346698529 | Jordan Anne Pinozek | Optometrist | 1044b N El Camino Real, Encinitas, CA 92024 | 2016-05-29 |
Find all providers in zip 92024 |
Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063053726 | Dr. Nastassia Rebecca Riser, A Professional Psychological Corporation | Clinic/Center | 700 Garden View Ct Ste 201j, Encinitas, CA 92024-2479 | 2019-10-03 |
1376075465 | Globalstem Cell Health, Inc. | Clinic/Center | 788 Neptune Ave, Encinitas, CA 92024-2060 | 2017-03-29 |
1740655935 | Dr. Ronald B Moss Inc | Clinic/Center | 345 Saxony Rd, Suite 105, Encinitas, CA 92024-2787 | 2015-12-14 |
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1427658699 | Perennial Medical Services Inc | Clinic/Center | 810 Manhattan Ave, Hermosa Beach, CA 90254-4150 | 2020-10-27 |
1841899085 | Eye Glass Specialists Inc. | Clinic/Center | 213 E Foothill Blvd, Rialto, CA 92376-5159 | 2020-10-20 |
1134736705 | Boston Medical Center Inc | Clinic/Center | 960 E Green St Ste 101, Pasadena, CA 91106-2401 | 2020-09-28 |
1215541628 | Pacific Care II | Clinic/Center | 1024 Jayhawk Way, Modesto, CA 95358-6714 | 2020-09-02 |
1316557358 | Breathe Thermae, Inc. | Clinic/Center | 200 S Cahuilla Rd, Palm Springs, CA 92262-6334 | 2020-08-04 |
1497363212 | Joana Anjeh Tala | Clinic/Center | 2951 Hampshire Cir, Corona, CA 92879-6133 | 2020-07-17 |
1376160580 | Beyond Practice, Inc. | Clinic/Center | 300 W Ocean Blvd Apt 6114, Long Beach, CA 90802-8029 | 2020-07-03 |
1205452315 | Affection Healthcare LLC | Clinic/Center | 1641 North Ripon Road, Ripon, CA 95366 | 2020-06-24 |
1467074963 | Onclick Healthcare Incorporated | Clinic/Center | 2625 Townsgate Rd Ste 330, Westlake Village, CA 91361-5749 | 2020-05-07 |
1811517832 | D.e. Garrison, D.o., Inc. | Clinic/Center | 3209 Esplanade Ste 120, Chico, CA 95973-0154 | 2020-04-20 |
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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.