MS. AMELIA SHAMSI POLHEBER (NPI# 1780816082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780816082 |
| Entity Type | Individual |
| Full Name | MS. AMELIA SHAMSI POLHEBER |
| Other Name | MS. AMELIA SHAMSI PIRASTEHFAR |
| Credential | FNP-BC |
| Practice Address |
4290 Polk Avenue San Diego CA 92105-1524 |
| Practice Telephone | 6195630507 |
| Practice Fax Number | 6195630015 |
| Mailing Telephone | 6195630507 |
| Mailing Fax Number | 6195630015 |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2015-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209007738 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4290 POLK AVENUE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92105-1524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710932876 | Sheryl Lynn Parker | Registered Nurse | 4290 Polk Avenue, San Diego, CA 92105-1524 | 2006-05-24 |
| 1063856805 | Elaine Rose Ocampo | Registered Nurse | 4290 Polk Avenue, San Diego, CA 92105-1524 | 2013-04-23 |
| 1770893620 | Paula Elaine Engel | Registered Nurse | 4290 Polk Avenue, San Diego, CA 92105-1524 | 2010-10-13 |
| 1376851378 | Tammie L Goulart | Registered Nurse | 4290 Polk Avenue, San Diego, CA 92105-1524 | 2010-09-24 |
| 1366768525 | Jillion T. Harris | Family Medicine | 4290 Polk Avenue, San Diego, CA 92105-1524 | 2010-04-13 |
| 1659609600 | Thanh Lam Nguyen | Registered Nurse | 4290 Polk Avenue, San Diego, CA 92105-1524 | 2009-12-03 |
| 1013245067 | Linnea Belle Daley | Registered Nurse | 4290 Polk Avenue, San Diego, CA 92105-1524 | 2009-12-03 |
| 1922237809 | Shawna Akiko Hirata Johnson | Nurse Practitioner | 4290 Polk Avenue, San Diego, CA 92105 | 2009-07-13 |
| 1114177060 | Sharon Elizabeth Aswegan | Registered Nurse | 4290 Polk Avenue, San Diego, CA 92105-1524 | 2008-09-29 |
| 1598911315 | Grace Jialin Ning | Counselor | 4290 Polk Avenue, San Diego, CA 92105-1524 | 2008-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851934798 | Point Loma Nazarene University | Nurse Practitioner | Point Loma Nazarene University Health Promotion Center, 4101 University Avenue, San Diego, CA 92105 | 2019-10-23 |
| 1104478809 | Kristin Lynn Nichols | Counselor | 4823 El Cajon Blvd Suite #115, San Diego, CA 92105 | 2019-07-12 |
| 1205343076 | Momentum Learning | Counselor | 3720 El Cajon Blvd., Sd, CA 92105 | 2018-01-03 |
| 1306352695 | Nathan Hien Le, Dds. Inc | Dentist | 4170 Fairmount Ave., San Diego, CA 92105 | 2017-12-21 |
| 1073038071 | Aika Mary Erlandson | Student in an Organized Health Care Education/Training Program | 5296 University Ave. Suite F-2, San Diego, CA 92105 | 2017-08-10 |
| 1457872178 | Ride-in Transport LLC | Non-emergency Medical Transport (VAN) | 4061 Fairmount Ave, San Diego, CA 92105 | 2017-07-03 |
| 1598205346 | Ahmed Mooge | Ambulance | 4061 Fairmout Ave, San Diego, CA 92105 | 2017-02-27 |
| 1083152748 | Rady Childrens Hospital-san Diego | Psychiatric Unit | 4305 University Avenue, Suite 150, San Diego, CA 92105 | 2017-02-02 |
| 1730634098 | Med Specialty Sai Inc. | Pharmacy | 4153 University Avenue, Suite B, San Diego, CA 92105 | 2016-08-16 |
| 1568857464 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 4074 Fairmount Avenue, Suite B, San Diego, CA 92105 | 2015-03-30 |
| Find all providers in zip 92105 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203097 | Rebecca Dolores Garcia | Nurse Practitioner | 2440 Curlew St, San Diego, CA 92101-1327 | 2020-10-20 |
| 1003415472 | Ryanleo Flores | Nurse Practitioner | 2017 1st Avenue, Suite 301, San Diego, CA 92101 | 2020-10-18 |
| 1083226245 | Allison Floyd | Nurse Practitioner | 3652 Texas St, San Diego, CA 92104-4044 | 2020-08-19 |
| 1386255248 | Helen Hyeyoung Hong | Nurse Practitioner | 5140 Caminito Exquisito, San Diego, CA 92130-2852 | 2020-08-13 |
| 1134747595 | Dawn Elyse Rose | Nurse Practitioner | 8260 Mira Mesa Blvd Ste A, San Diego, CA 92126-2662 | 2020-07-10 |
| 1982232591 | John Meier | Nurse Practitioner | 3745 Riviera Dr Apt 10, San Diego, CA 92109-6661 | 2020-03-30 |
| 1013543008 | Alex Choi Mara | Nurse Practitioner | 5248 Zephyr Ln Unit 24, San Diego, CA 92120-2749 | 2020-03-21 |
| 1669005021 | Katlyn Ann Hartman | Nurse Practitioner | 1951 4th Ave, San Diego, CA 92101-2374 | 2020-02-13 |
| 1245876101 | Katherine Baber | Nurse Practitioner | 3671 Fifth Ave, San Diego, CA 92103-4218 | 2019-11-25 |
| 1922644095 | Taiko Harris | Nurse Practitioner | 13592 Bolero Way, San Diego, CA 92130-7006 | 2019-11-22 |
| 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.