MONISHA BHANOTE (NPI# 1760655278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760655278 |
| Entity Type | Individual |
| Full Name | MONISHA BHANOTE |
| Credential | MD |
| Practice Address |
13112 Evening Creek Dr S San Diego CA 92128-4108 |
| Mailing Address |
2374 E Pacifica Pl Rancho Dominguez CA 90220-6214 |
| Practice Telephone | 8586684385 |
| Practice Fax Number | 3106987054 |
| Mailing Telephone | 3102253244 |
| Mailing Fax Number | 3106987054 |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2016-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZC0500X |
Pathology Specialization: Cytopathology |
239555 | NY | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
C130710 | CA | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
239555 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE | C130710 | 01 |
| Street Address |
13112 EVENING CREEK DR S |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92128-4108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639173610 | Marta I Torres-quinones | Pathology | 13112 Evening Creek Dr S, San Diego, CA 92128 | 2005-06-08 |
| 1053515254 | Saadiya Haque | Pathology | 13112 Evening Creek Dr S, San Diego, CA 92128-4108 | 2007-06-12 |
| 1295954550 | Laboratory Corporation of America | Clinical Medical Laboratory | 13112 Evening Creek Dr S, Suite 100, San Diego, CA 92128-4108 | 2007-04-25 |
| 1104045749 | Laboratory Corporation of America | Clinical Medical Laboratory | 13112 Evening Creek Dr S, Suite 300, San Diego, CA 92128-4108 | 2007-04-24 |
| 1790738169 | Jenny R. Galloway | Pathology | 13112 Evening Creek Dr S, San Diego, CA 92128-4108 | 2006-05-18 |
| 1659352276 | Laboratory Corporation of America | Clinical Medical Laboratory | 13112 Evening Creek Dr S, Suite 200, San Diego, CA 92128-4108 | 2005-11-10 |
| 1083611602 | Gordana Stevanovic | Specialist | 13112 Evening Creek Dr S, San Diego, CA 92128-4108 | 2005-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
| 1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
| 1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
| 1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
| 1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
| 1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
| 1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
| Find all providers in zip 92128 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| 1548786163 | Uc San Diego | Pathology | 200 West Arbor Drive Mc 8320, San Diego, CA 92103 | 2017-08-15 |
| 1669818456 | Stephanie Erin Muller | Pathology | 9295 Farnham Street, Suite 100, San Diego, CA 92123 | 2013-05-20 |
| 1740571264 | Lynn A Lancaster | Pathology | 4633 E Talmadge Dr, San Diego, CA 92116-4829 | 2011-05-02 |
| 1255633442 | Lawrence Browning Willes | Pathology | 200 W Arbor Dr # Mc8720, San Diego, CA 92103-9001 | 2010-11-22 |
| 1063724920 | Veena Singh | Pathology | 9640 Towne Centre Dr Ste 200, San Diego, CA 92121-1963 | 2010-07-08 |
| 1194056820 | James Russell Nickel | Pathology | 3446 Hancock St, Suite C, San Diego, CA 92110-4306 | 2010-01-20 |
| 1386832640 | Aamir Ahsan | Pathology | 9295 Farnham St Ste 100, San Diego, CA 92123-1254 | 2007-10-11 |
| 1437340445 | Maria Lourdes Fernandez Reyes | Pathology | 6371 Rancho Mission Rd, Unit 2, San Diego, CA 92108-2016 | 2007-08-05 |
| 1316030984 | James J Underwood | Pathology | 9853 Pacific Heights Blvd, Ste B, San Diego, CA 92121-4721 | 2006-10-02 |
| 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.