MRS. FARIDAH MUMIN


Address: 12400 High Bluff Dr, San Diego, CA 92130-3077
Phone: 8324530704

MRS. FARIDAH MUMIN (NPI# 1710412432) 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) 1710412432
Entity Type Individual
Full Name MRS. FARIDAH MUMIN
Credential FNP
Practice Address 12400 High Bluff Dr
San Diego
CA 92130-3077
Mailing Address 349 S Lafeyette Park Place Apt 125
Los Angeles
CA 90057
Practice Telephone 8324530704
Mailing Telephone 8324530704
Enumeration Date 2017-05-01
Last Update Date 2018-10-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner NPF95008183 CA Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP133533 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 12400 HIGH BLUFF DR
City SAN DIEGO
State CA
Zip Code 92130-3077

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780876813 Najiyyah Covington Lewis Occupational Therapist 12400 High Bluff Dr, San Diego, CA 92130-3077 2007-08-13
1376162966 Madeline Paige Hitt Registered Nurse 12400 High Bluff Dr, San Diego, CA 92130-3077 2020-04-13
1326686692 Jennifer Lynne Casinelli Speech-Language Pathologist 12400 High Bluff Dr, San Diego, CA 92130-3077 2019-12-17
1811533623 Cody A Swartzendruber Physical Therapist 12400 High Bluff Dr, San Diego, CA 92130-3077 2019-11-27
1972168466 Myrna Vargas Technician, Pathology 12400 High Bluff Dr, San Diego, CA 92130-3077 2019-05-09
1891208211 Samantha Muntean Grinnell Physical Therapist 12400 High Bluff Dr, San Diego, CA 92130-3077 2017-11-07
1780119339 Brooke Horner Physical Therapist 12400 High Bluff Dr, San Diego, CA 92130-3077 2017-04-20
1548795123 Michael Magyar Physical Therapy Assistant 12400 High Bluff Dr, San Diego, CA 92130-3077 2017-04-20
1609308865 Jennifer Turnbull Occupational Therapist 12400 High Bluff Dr, San Diego, CA 92130-3077 2017-03-28
1952842726 Hyun-mi Brooke Abrahams Physical Therapist 12400 High Bluff Dr, Suite 100, San Diego, CA 92130-3077 2017-03-13
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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 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982203097 Rebecca Dolores Garcia Nurse Practitioner 2440 Curlew St, San Diego, CA 92101-1327 2020-10-20
1003415472 Ryanleo Flores Nurse Practitioner 2017 1st Avenue, Suite 301, San Diego, CA 92101 2020-10-18
1083226245 Allison Floyd Nurse Practitioner 3652 Texas St, San Diego, CA 92104-4044 2020-08-19
1386255248 Helen Hyeyoung Hong Nurse Practitioner 5140 Caminito Exquisito, San Diego, CA 92130-2852 2020-08-13
1134747595 Dawn Elyse Rose Nurse Practitioner 8260 Mira Mesa Blvd Ste A, San Diego, CA 92126-2662 2020-07-10
1982232591 John Meier Nurse Practitioner 3745 Riviera Dr Apt 10, San Diego, CA 92109-6661 2020-03-30
1013543008 Alex Choi Mara Nurse Practitioner 5248 Zephyr Ln Unit 24, San Diego, CA 92120-2749 2020-03-21
1669005021 Katlyn Ann Hartman Nurse Practitioner 1951 4th Ave, San Diego, CA 92101-2374 2020-02-13
1245876101 Katherine Baber Nurse Practitioner 3671 Fifth Ave, San Diego, CA 92103-4218 2019-11-25
1922644095 Taiko Harris Nurse Practitioner 13592 Bolero Way, San Diego, CA 92130-7006 2019-11-22
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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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