DR. JACOB NEW (NPI# 1740800325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740800325 |
Entity Type | Individual |
Full Name | DR. JACOB NEW |
Credential | MD |
Practice Address |
10790 Rancho Bernardo Rd. Mail Drop 4s-205 San Diego CA 92127 |
Practice Telephone | 8585543200 |
Mailing Telephone | 8585543200 |
Enumeration Date | 2020-04-23 |
Last Update Date | 2020-04-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
10790 RANCHO BERNARDO RD. MAIL DROP 4S-205 |
City | SAN DIEGO |
State | CA |
Zip Code | 92127 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376174946 | Marjorie Francisco Noy | Social Worker | 16550 W. Bernardo Drive, Bldg. 8/1688n, San Diego, CA 92127 | 2020-01-31 |
1295253839 | Chelsea Saville | Physical Therapist | 16680 West Bernardo Drive, San Diego, CA 92127 | 2017-09-05 |
1558881862 | Dianna Christine Goodwin | Social Worker | 11031 Via Frontera Suite C, San Diego, CA 92127 | 2017-06-27 |
1164966495 | Kelsey Michaela Bright | Specialist/Technologist | 15778 Camino Crisalida, San Diego, CA 92127 | 2016-12-06 |
1588112924 | Orenda Recovery | Substance Abuse Rehabilitation Facility | 8110 Twilight Point Way, San Diego, CA 92127 | 2016-09-14 |
1063868560 | Jung Oh | Pharmacist | 18087 Valladares Drive, San Diego, CA 92127 | 2016-05-13 |
1225496524 | Davey Dental Corp | Dentist | 16460 Paseo Del Sur, Suite 105, San Diego, CA 92127 | 2016-02-02 |
1942673496 | Davey Dental Corporation | Dentist | 1640 Paseo Del Sur, Suite 105, San Diego, CA 92127 | 2015-11-05 |
1164800025 | Maryam Derakhshani | Dentist | 10960 La Alberca Avenue, San Diego, CA 92127 | 2015-05-12 |
1851779094 | Christopher Callahan | Occupational Therapist | 10760 Thornmint Rd, San Diego, CA 92127 | 2015-05-07 |
Find all providers in zip 92127 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033716204 | Julianne A. Demery | Student in an Organized Health Care Education/Training Program | Naval Base San Diego 2450 Craven Street #3300, San Diego, CA 92136-0001 | 2020-10-01 |
1649885732 | Leanne Evalyn Morancie | Student in an Organized Health Care Education/Training Program | 4231 Balboa Ave # 1245, San Diego, CA 92117-5504 | 2020-09-15 |
1689288136 | Melissa Eileen Fitzgibbon | Student in an Organized Health Care Education/Training Program | 5114 63rd St, San Diego, CA 92115-1407 | 2020-09-02 |
1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
1861004392 | Mareena Biju | Student in an Organized Health Care Education/Training Program | 10995 Evening Creek Dr E, San Diego, CA 92128-4009 | 2020-08-17 |
1184235202 | Taylor G Wasko | Student in an Organized Health Care Education/Training Program | 4114 Swift Ave Apt 4, San Diego, CA 92104-2249 | 2020-08-12 |
1790394245 | Elisa Melo Da Silva Smerik | Student in an Organized Health Care Education/Training Program | 3235 Loma Riviera Dr, San Diego, CA 92110-5511 | 2020-07-29 |
1215554076 | Ana Mohammad-zadeh | Student in an Organized Health Care Education/Training Program | 17289 Russet St, San Diego, CA 92127-2135 | 2020-06-28 |
1265056048 | Tilbe Yildirim | Student in an Organized Health Care Education/Training Program | 1963 Fourth Ave., San Diego, CA 92101 | 2020-06-08 |
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.