DR. DEBORAH G MISHEK (NPI# 1760826705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760826705 |
| Entity Type | Individual |
| Full Name | DR. DEBORAH G MISHEK |
| Credential | MD |
| Practice Address |
12625 High Bluff Dr Suite 302 San Diego CA 92130-2052 |
| Mailing Address |
Po Box 420538 San Diego CA 92142-0538 |
| Practice Telephone | 8585815053 |
| Practice Fax Number | 8582794312 |
| Mailing Telephone | 8585815053 |
| Mailing Fax Number | 8582794312 |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-04-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
G66413 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
12625 HIGH BLUFF DR SUITE 302 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92130-2052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902851900 | Lagasse Yates, Inc | Psychologist | 12625 High Bluff Dr, Suite 206, San Diego, CA 92130-2052 | 2006-05-24 |
| 1659877611 | Rachel Beaubier | Registered Nurse | 12625 High Bluff Dr, San Diego, CA 92130-2052 | 2018-03-30 |
| 1609284769 | Katie Tiemeyer | Speech-Language Pathologist | 12625 High Bluff Dr, Suite 105, San Diego, CA 92130-2052 | 2014-07-31 |
| 1386056240 | Caroline Morin | Psychiatry & Neurology | 12625 High Bluff Dr, Suite 305, San Diego, CA 92130-2052 | 2014-05-27 |
| 1598189375 | Botkiss Center for Tms Therapy | Psychiatry & Neurology | 12625 High Bluff Dr, Suite 312, San Diego, CA 92130-2052 | 2014-02-13 |
| 1457604639 | Kris Gremillion | Speech-Language Pathologist | 12625 High Bluff Dr, Suite 113, San Diego, CA 92130-2052 | 2012-10-24 |
| 1477836856 | Jonathan Ortiz | Social Worker | 12625 High Bluff Dr, Suite 305, San Diego, CA 92130-2052 | 2011-09-22 |
| 1376830331 | Kimberly Ducker | Specialist/Technologist | 12625 High Bluff Dr, Suite #113, San Diego, CA 92130-2052 | 2011-06-28 |
| 1083948046 | Jacqueline Michelle Gamboa | Psychologist | 12625 High Bluff Dr, Suite 114, San Diego, CA 92130-2052 | 2009-09-23 |
| 1770711442 | Minoa K Chang | Psychologist | 12625 High Bluff Dr, Suite 316, San Diego, CA 92130-2052 | 2009-07-01 |
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| 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 Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083780837 | Raymond Macdonald Peterson I | Pediatrics | 5663 Glenstone Way, San Diego, CA 92121-4332 | 2006-11-24 |
| 1326028192 | Chadley Ryan Huebner | Pediatrics | Naval Medical Center San Diego 34520 Bob Wilson Drive, San Diego, CA 92134 | 2006-01-18 |
| 1710988605 | Suzanne D Dixon | Pediatrics | 7920 Frost St, Ste 200, San Diego, CA 92123-2736 | 2005-08-02 |
| 1184157620 | Jesica Fernanda Liu | Pediatrics | 7910 Frost St Ste 230, San Diego, CA 92123-2776 | 2017-04-11 |
| 1174674683 | Kristofer Adam Kazlauskas | Pediatrics | 34800 Bob Wilson Dr, Nmcsd, San Diego, CA 92134-1098 | 2007-01-13 |
| 1871641837 | Barbara J. Lounsbury | Pediatrics | 4647 Zion Ave, San Diego, CA 92120-2507 | 2007-01-08 |
| 1114011624 | Sarita Doyle Eastman | Pediatrics | 12395 El Camino Real, Suite 105, San Diego, CA 92130 | 2006-10-02 |
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|---|---|---|---|---|
| 1720601222 | Development Support Services | Pediatrics | 43218 Business Park Dr Ste 203, Temecula, CA 92590-3601 | 2020-05-19 |
| 1922659804 | Trenna Sutcliffe Md, Apc | Pediatrics | 851 Fremont Ave Ste 110, Los Altos, CA 94024-5602 | 2019-09-23 |
| 1295117299 | Inland Faculty Specialists, A California Professional Corporation | Pediatrics | 4153 Rubidoux Ave, Riverside, CA 92506-1717 | 2015-06-25 |
| 1891181129 | Albert C. Fremont | Pediatrics | 1405 University Ave, Palo Alto, CA 94301-2245 | 2015-04-14 |
| 1184047722 | Hooi Hoon Yeap | Pediatrics | 820 Elgin St, San Lorenzo, CA 94580-1264 | 2014-02-03 |
| 1558608331 | Melissa Harada | Pediatrics | 3782 W Martin Luther King Jr Blvd, Los Angeles, CA 90008-1703 | 2013-01-14 |
| 1417227554 | New Age Enterprises | Pediatrics | 7320 Firestone Blvd Ste 105, Downey, CA 90241-4159 | 2012-01-06 |
| 1225342215 | Robert E Nopar | Pediatrics | 1900 E Los Angeles Ave, Simi Valley, CA 93065-6560 | 2010-08-02 |
| 1134383243 | Marianna Eraklis | Pediatrics | One Camino Sobrante, Suite 208, Orinda, CA 94563 | 2008-07-17 |
| 1982806170 | Jennifer Kit-lam Leung | Pediatrics | 2967 Michelson Dr Ste G, Pmb131, Irvine, CA 92612-8801 | 2007-06-01 |
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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.