BRENDA GERALDINE VAN LOGGEM (NPI# 1750683314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750683314 |
| Entity Type | Individual |
| Full Name | BRENDA GERALDINE VAN LOGGEM |
| Credential | NP |
| Practice Address |
6920 Miramar Rd San Diego CA 92121-2632 |
| Mailing Address |
31570 Eagle Rock Way Laguna Beach CA 92651-8299 |
| Practice Telephone | 8589357379 |
| Mailing Telephone | 9497150464 |
| Mailing Fax Number | 9497150464 |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
589781 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6920 MIRAMAR RD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121-2632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447648357 | Mary Guirguis | Physician Assistant | 6920 Miramar Rd, San Diego, CA 92121-2632 | 2014-12-30 |
| 1689010019 | Peak Health Solutions | Home Health | 6920 Miramar Rd, Suite #305, San Diego, CA 92121-2632 | 2013-05-13 |
| 1760751010 | Tammy Clemmons | Nurse Practitioner | 6920 Miramar Rd, Ste. 305, San Diego, CA 92121-2632 | 2011-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
| 1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
| 1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
| 1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
| 1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
| 1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| Find all providers in zip 92121 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535937 | Ashley Elizabeth Rosso | Nurse Practitioner | 3111 Camino Del Rio N Ste 625, San Diego, CA 92108-5718 | 2020-07-17 |
| 1316465198 | Laura Ann Clarizio | Nurse Practitioner | 8685 Rio San Diego Dr Apt 4329, San Diego, CA 92108-6559 | 2017-08-31 |
| 1467975656 | Bays Nursing Corporation | Nurse Practitioner | 3433 Marathon Dr, San Diego, CA 92123-2621 | 2017-07-19 |
| 1255868873 | Patricia Vlasin, N.p., Inc., A Nursing Corporation | Nurse Practitioner | 13754 Bassmore Dr, San Diego, CA 92129-3220 | 2017-05-13 |
| 1588718902 | Victoria Llanes Wooden | Nurse Practitioner | 4459 Philbrook Sq, San Diego, CA 92130-8674 | 2007-01-23 |
| 1477630036 | Anne Quyen Nguyen | Nurse Practitioner | 10203 Winecreek Ct, San Diego, CA 92127-3728 | 2006-11-01 |
| 1477666162 | Carole F Hair | Nurse Practitioner | 3350 La Jolla Village Dri, Va San Diego Healthcare System, San Diego, CA 92161-0001 | 2006-08-16 |
| 1962421669 | Barbara M. Fisher | Nurse Practitioner | 956 10th Ave, San Diego, CA 92101-6526 | 2006-07-19 |
| 1912475542 | Theresa Aqui | Nurse Practitioner | 7801 Mission Center Ct, San Diego, CA 92108-1313 | 2018-11-13 |
| 1417336827 | Oksana Nizheborsky | Nurse Practitioner | 9619 Chesapeake Dr, Suite 102, San Diego, CA 92123-1368 | 2015-05-19 |
| 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.