JULISSA LEONIDES CARABALLO (NPI# 1730714007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730714007 |
| Entity Type | Individual |
| Full Name | JULISSA LEONIDES CARABALLO |
| Credential | NP |
| Practice Address |
4044 Promontory St San Diego CA 92109-5334 |
| Practice Telephone | 9177572230 |
| Mailing Telephone | 9177572230 |
| Enumeration Date | 2020-03-07 |
| Last Update Date | 2020-03-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
95005201 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4044 PROMONTORY ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92109-5334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538620786 | San Diego Forensic Psychology Corporation | Psychologist | 4640 Cass Street, # 90422, San Diego, CA 92109 | 2019-03-29 |
| 1982113874 | Holly Mansur | Registered Nurse | 3663 Jewell Street, San Diego, CA 92109 | 2017-09-24 |
| 1669906178 | Kelley Ann Riley | Prevention Professional | 4328 Gresham St, San Diego, CA 92109 | 2017-04-12 |
| 1689113524 | Tyler Marquis | Pharmacist | 2636 Grand Avenue Apartment 326, San Diego, CA 92109 | 2017-02-13 |
| 1912372574 | Lonnie Butler | Doula | 841 Turquoise Street, F-405, San Diego, CA 92109 | 2015-12-08 |
| 1275924995 | Pratima S. Gowdar, Dds, Inc | Dentist | 4655 Cass St. Ste 104, San Diego, CA 92109 | 2015-02-17 |
| 1417388562 | Pacific Rim Pathology Medical Corporation | Clinical Medical Laboratory | 3030 Bunker Hill Street, Suite 201, San Diego, CA 92109 | 2013-11-27 |
| 1023379997 | Eric Berquist | Student in an Organized Health Care Education/Training Program | 2009 Reed Ave, San Diego, CA 92109 | 2012-06-06 |
| 1982996724 | Miramar Health Physicians Group | Acupuncturist | 1321 Garnet Avenue, San Diego, CA 92109 | 2011-05-12 |
| 1902109325 | Anna N Amagou | Behavioral Analyst | 2221 Felspar Street Apt #c, San Diego, CA 92109 | 2010-12-07 |
| Find all providers in zip 92109 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427543685 | Meredith Cronenwett | Nurse Practitioner | 8793 Lightwave Ave, San Diego, CA 92123-5000 | 2018-06-28 |
| 1891288056 | Ayodele Bolatito Akinsuyi | Nurse Practitioner | 11287 Featherhill Ln, San Diego, CA 92126-4873 | 2018-06-12 |
| 1366958092 | Sylvia Akua Searleman | Nurse Practitioner | 17927 Aguamiel Rd, San Diego, CA 92127-1039 | 2017-12-18 |
| 1346752219 | Gurpreet Sahota | Nurse Practitioner | 7270 Rondel Ct, San Diego, CA 92119-1526 | 2017-10-31 |
| 1861912495 | Tejinder Kaur Dhandi | Nurse Practitioner | 12204 Briar Knoll Way, San Diego, CA 92128-6307 | 2017-06-24 |
| 1245782689 | Ellen Ward | Nurse Practitioner | 4320 Genesee Ave Ste 104, San Diego, CA 92117-4900 | 2016-11-02 |
| 1285088369 | Jackie Irene Nembo Kom | Nurse Practitioner | 17809 Kachina Ct, San Diego, CA 92127-1368 | 2016-04-14 |
| 1568864858 | Kathryn Hughlock | Nurse Practitioner | 4020 4th Ave, San Diego, CA 92103 | 2014-09-18 |
| 1730589953 | Morgan Wolf | Nurse Practitioner | 8935 Towne Centre Dr, San Diego, CA 92122-5651 | 2014-08-25 |
| 1154747103 | Rebecca Jackson | Nurse Practitioner | 3655 Nobel Drive, Suite 660, Peak Health Solutions, San Diego, CA 92122 | 2014-03-14 |
| 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.