DR. PEGGY BAIN (NPI# 1699226712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699226712 |
Entity Type | Individual |
Full Name | DR. PEGGY BAIN |
Credential | DVM, MPH, DACVPM |
Practice Address |
49620 Beluga Rd Bldg 194, Rm 111 San Diego CA 92152-6505 |
Mailing Address |
53560 Hull St San Diego CA 92152-5001 |
Practice Telephone | 6195531869 |
Practice Fax Number | 6195536295 |
Enumeration Date | 2016-10-24 |
Last Update Date | 2016-10-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171000000X | Military Health Care Provider | 19157 | CA | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | VETERINARY LICENSE | 19157 | 01 |
Street Address |
49620 BELUGA RD BLDG 194, RM 111 |
City | SAN DIEGO |
State | CA |
Zip Code | 92152-6505 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114316155 | Melissa Dolan | Veterinarian | 49620 Beluga Rd, Marine Mammal Clinic, San Diego, CA 92152-6506 | 2015-01-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164637005 | Preston P. Thrift | Military Health Care Provider | 53560 Hull St, San Diego, CA 92152-5001 | 2007-05-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538760210 | Vanessa Nunez | Nursing Home Administrator | 1697 Donax Ave, San Diego, CA 92154-1004 | 2020-11-08 |
1295336956 | Ryan Russo | Clinical Nurse Specialist | 2376 Soto St, San Diego, CA 92107-1410 | 2020-11-07 |
1689275331 | Brenda L Curtis | Marriage & Family Therapist | 9191 Towne Centre Dr Ste 103, San Diego, CA 92122-1227 | 2020-11-07 |
1114528940 | Kaiser Foundation Health Plan Inc | Pharmacy | 4647 Zion Ave Fl4, Rm 4825, San Diego, CA 92120-2507 | 2020-11-06 |
1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
1396346359 | Christina L Thomas | Counselor | 4611 Alamo Dr, San Diego, CA 92115-5907 | 2020-11-05 |
1316548456 | Paulo Conceicao | Massage Therapist | 6559 Comly St, San Diego, CA 92111-5401 | 2020-11-05 |
1346841541 | Guadalupe Ibarra Sanders | Registered Nurse | 9022 Flanders Dr, San Diego, CA 92126-2826 | 2020-11-04 |
1720689987 | Capsule San Diego LLC | Pharmacy | 1450 Columbia St Ste B, San Diego, CA 92101-3487 | 2020-11-04 |
1265033583 | Mission Bay Hospice, Inc. | Hospice Care, Community Based | 10251 Vista Sorrento Pkwy Ste 280b, San Diego, CA 92121-3774 | 2020-11-03 |
Find all providers in SAN DIEGO |
Taxonomy Code | 171000000X |
Grouping | Other Service Providers |
Classification | Military Health Care Provider |
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
Notes: [7/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629692389 | Christopher Matey | Military Health Care Provider | 34800 Bob Wilson Dr Ste 110, San Diego, CA 92134-1110 | 2020-05-29 |
1982225769 | Jin Ah Kim | Military Health Care Provider | Naval Medical Center San Diego 38400 Bon Wilson Drive, San Diego, CA 92134-5000 | 2020-05-03 |
1508495201 | Benjamin Michael Taylor | Military Health Care Provider | Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2020-04-04 |
1588292858 | Korina Erin Sandoval | Military Health Care Provider | Naval Medical Center Drive 38400 Bob Wilson Dr, San Diego, CA 92134-5000 | 2020-03-31 |
1033746508 | Hannah Johnson | Military Health Care Provider | 34800 Bob Wilson Dr Ste 403, San Diego, CA 92134-1403 | 2020-03-25 |
1891336541 | Prana Hands Nonprofit | Military Health Care Provider | 2180 Garnet Ave Ste 3l, San Diego, CA 92109-3676 | 2019-10-03 |
1992366587 | Darion Pegues | Military Health Care Provider | 3530 Kelsey St, San Diego, CA 92124-3516 | 2019-06-24 |
1083275762 | Tyler Bradshaw Thompson | Military Health Care Provider | 34, Farenholt Ave, San Diego, CA 92134-0001 | 2019-06-24 |
1558924274 | Nathan Alley-byrd | Military Health Care Provider | Navy Medical Center San Diego 34800 Bob Wilson Drive, San Diego, CA 92134-0001 | 2019-04-18 |
1013570290 | Mckennan A Cook | Military Health Care Provider | Nmcsd 34800 Bob Wilson Drive, San Diego, CA 92134-3300 | 2019-04-15 |
Find all providers in SAN DIEGO |
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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.