KRISTIN MARIE OSTERMAN DESANTIS (NPI# 1710399811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710399811 |
Entity Type | Individual |
Full Name | KRISTIN MARIE OSTERMAN DESANTIS |
Credential | M.D. |
Practice Address |
200 Mercy Circle Oceanside CA 92055 |
Mailing Address |
Naval Medical Ctr 34800 Bob Wilson Drive San Diego CA 92134-5000 |
Practice Telephone | 7607254015 |
Enumeration Date | 2014-05-22 |
Last Update Date | 2018-11-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | 138196 | CA | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
Naval Medical Ctr, 34800 Bob Wilson Drive, San Diego, CA 921345000 | 6195326400 |
Street Address |
200 MERCY CIRCLE |
City | OCEANSIDE |
State | CA |
Zip Code | 92055 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194343384 | Angelique Nicole Barone | Occupational Therapist | 200 Mercy Circle, Naval Hospital Camp Pendleton, Oceanside, CA 92055 | 2020-07-14 |
1184250938 | Nicholas Wah Hoo | Student in an Organized Health Care Education/Training Program | 200 Mercy Circle, Oceanside, CA 92055 | 2020-03-12 |
1295360006 | Gregory Shingyang Zhang | Military Health Care Provider | 200 Mercy Circle, Oceanside, CA 92055 | 2020-03-12 |
1043870439 | Jessica Nicole Garrity | Social Worker | 200 Mercy Circle, Oceanside, CA 92055 | 2019-06-18 |
1750949657 | Alison Cristina Lam | Student in an Organized Health Care Education/Training Program | 200 Mercy Circle, Oceanside, CA 92055 | 2019-06-05 |
1962970418 | Edgardo Ramirez Jr. | Physician Assistant | 200 Mercy Circle, Oceanside, CA 92055 | 2018-11-02 |
1275013054 | Andrew D Sinclair | Dentist | 200 Mercy Circle, Oceanside, CA 92055 | 2018-08-21 |
1497235931 | Anthony Scopelli | Dentist | 200 Mercy Circle, Oceanside, CA 92055 | 2018-08-15 |
1104310879 | Davis Frease | Student in an Organized Health Care Education/Training Program | 200 Mercy Circle, Oceanside, CA 92055 | 2018-06-18 |
1487148177 | Clayton Franklin Fuqua | Student in an Organized Health Care Education/Training Program | 200 Mercy Circle, Oceanside, CA 92055 | 2018-06-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235730755 | Zaccary Griffin | Military Health Care Provider | Building 4101 Stuart Mesa Rd, Camp Pendleton, CA 92055 | 2020-11-02 |
1194325597 | Connie Lim Good | Dental Hygienist | 14th Street Bldg 13128, Oceanside, CA 92055 | 2020-10-27 |
1386243327 | Leticia Isabel Alcantar | Dental Hygienist | Bldg 520448, Camp Pendleton, CA 92055 | 2020-10-21 |
1548869571 | Joshua Watersjackson | Specialist/Technologist | 430406 Las Pulgas, Camp Pendleton, CA 92055 | 2020-10-21 |
1235737164 | Tynesha Felice Calimquim | Dental Hygienist | Naval Hospital Camp Pendleton, Dental Department, 200 Mercy Circle, Oceanside, CA 92055 | 2020-10-13 |
1801494182 | Luis Alberto Necoechea | Military Health Care Provider | 1st Recon Bn Bas, Oceanside, CA 92055 | 2020-10-09 |
1689271603 | Lorena Santodomingo | Dental Hygienist | Bldg 210735 C Street, Camp Pendleton, CA 92055 | 2020-10-02 |
1720695984 | Douglas Thomas Duncan | Dental Assistant | 92055- 14th Strret, Oceanside, CA 92055 | 2020-09-30 |
1528675980 | Dora Louise Young | Dental Assistant | 92055 14th Street, Camp Pendleton, CA 92055 | 2020-09-29 |
1306453956 | Lynne Marie Reardon | Dental Hygienist | Bldg 310515, Camp Pendleton, CA 92055 | 2020-09-28 |
Find all providers in zip 92055 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952676041 | Ellen C. Mandell | Obstetrics & Gynecology | 4635 Waverly Rd, Oceanside, CA 92056-4914 | 2012-03-21 |
1093956328 | David A Halio Md PC | Obstetrics & Gynecology | 257 Foxhurst Rd, Oceanside, NY 11572-2352 | 2009-03-17 |
1700963386 | David Albert Halio | Obstetrics & Gynecology | 257 Foxhurst Road, Oceanside, NY 11572 | 2006-11-01 |
1851311617 | Vista Way Ob-gyn Medical Group, In.c. | Obstetrics & Gynecology | 3998 Vista Way Ste C202, Oceanside, CA 92056-4518 | 2006-07-21 |
1639170459 | Rahele Mazarei | Obstetrics & Gynecology | 3998 Vista Way Ste C, Oceanside, CA 92056-4514 | 2005-08-02 |
1477929974 | Talal R. Muhtaseb M.d. Inc | Obstetrics & Gynecology | 3998 Vista Way, Suite C, Oceanside, CA 92056 | 2015-08-19 |
1053718460 | Radiance Ob-gyn | Obstetrics & Gynecology | 3998 Vista Way, Suite C, Oceanside, CA 92056-4500 | 2014-12-01 |
1619232642 | Deanna Young | Obstetrics & Gynecology | 4318 Mission Ave, Oceanside, CA 92057-6541 | 2012-07-05 |
1952664401 | Gabriel E Labbad | Obstetrics & Gynecology | 2210 Mesa Dr Ste 5, Oceanside, CA 92054-3701 | 2012-06-20 |
1417248071 | Sheila Mulligan | Obstetrics & Gynecology | 200 Mercy Cir, Oceanside, CA 92055-5191 | 2011-04-29 |
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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.