DR. KADEN GRAY WILLIE (NPI# 1790133767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790133767 |
| Entity Type | Individual |
| Full Name | DR. KADEN GRAY WILLIE |
| Credential | D.O. |
| Practice Address |
150 Valpreda Rd San Marcos CA 92069-2973 |
| Practice Telephone | 7607366767 |
| Practice Fax Number | 7607368740 |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2019-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20A17306 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
150 VALPREDA RD |
| City | SAN MARCOS |
| State | CA |
| Zip Code | 92069-2973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417954108 | Meredith L Heidenfeld | Physician Assistant | 150 Valpreda Rd, San Marcos, CA 92069-2973 | 2005-07-07 |
| 1477010445 | Cindi Hedrick | Nurse Practitioner | 150 Valpreda Rd, San Marcos, CA 92069-2973 | 2019-02-26 |
| 1376010488 | Allison Fain Moecher | Nurse Practitioner | 150 Valpreda Rd, San Marcos, CA 92069-2973 | 2018-10-26 |
| 1245733450 | Suzanne Marie Simmons | Registered Nurse | 150 Valpreda Rd, San Marcos, CA 92069-2973 | 2018-03-14 |
| 1194224345 | Evelyn L Ciampa | Nurse Practitioner | 150 Valpreda Rd, San Marcos, CA 92069-2973 | 2018-02-02 |
| 1659898641 | Jean Lee Vetter | Social Worker | 150 Valpreda Rd, San Marcos, CA 92069-2973 | 2017-08-29 |
| 1699222620 | Alejandra Cabral | Nurse Practitioner | 150 Valpreda Rd, San Marcos, CA 92069-2973 | 2016-09-07 |
| 1841649761 | Ryan Clapp | Nurse Practitioner | 150 Valpreda Rd, San Marcos, CA 92069-2973 | 2016-06-10 |
| 1790144756 | Janet Araceli Garcia | Counselor | 150 Valpreda Rd, San Marcos, CA 92069-2973 | 2016-02-18 |
| 1083094510 | Julie Matias | Family Medicine | 150 Valpreda Rd, San Marcos, CA 92069 | 2015-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396364071 | Doreatha Yvonne Gandy-edmundson | Social Worker | 112 North Centre City Parkway, Unit 103, San Marcos, CA 92069 | 2020-04-13 |
| 1588150296 | Martha Gallo | Adult Companion | 1227 Armorlite Dr Apt 102, San Marcos, CA 92069 | 2018-07-05 |
| 1508357765 | Jensen Moore | Chiropractor | 370 Mulberry Dr Ste C, San Marcos, CA 92069 | 2018-05-23 |
| 1457870156 | Brandie Janette Limon-nava | Counselor | 751 Rancheros Dr Suite 5, San Marcos, CA 92069 | 2017-09-13 |
| 1336436872 | Vivek Solanki | Dentist | 197 Woodland Pkwy #100, Mission Hills Family Dental, San Marcos, CA 92069 | 2011-07-05 |
| 1558689448 | Jessie Janette Hiatt | Marriage & Family Therapist | 330 Rancheros Dr Ste 218, San Marcos, CA 92069 | 2010-05-17 |
| 1407174113 | Daniel Reinke | Counselor | 1560 Capalina Road, San Marcos, CA 92069 | 2010-05-06 |
| 1902130842 | Tiara Christine Esani | Physician Assistant | 277 Rancheros Drive, Suite 100, San Marcos, CA 92069 | 2009-09-24 |
| 1124220926 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 997 Woodland Pkwy, San Marcos, CA 92069 | 2007-06-04 |
| 1275755845 | Davoudi Dds Inc. | Dentist | 979 Woodland Parkway, Suite 100, San Marcos, CA 92069 | 2007-05-03 |
| Find all providers in zip 92069 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235763434 | Mara Cruz | Family Medicine | 2130 Old Zorn Rd, San Marcos, TX 78666-2000 | 2020-02-26 |
| 1558865717 | Juventas Plasma LLC | Family Medicine | 1920 Corporate Drive, Suite 101 A, San Marcos, TX 78666 | 2018-03-22 |
| 1386909638 | Desty Alcancia Manzo-chua | Family Medicine | 1201 Camino Lorado, 1201 Camino Lorado, San Marcos, CA 92078-7106 | 2012-07-11 |
| 1558623371 | Michael Andrew Woo-ming | Family Medicine | 1537 Grand Ave Ste A, San Marcos, CA 92078-2424 | 2012-06-08 |
| 1700084829 | Drew Ernest Polson | Family Medicine | 2406 Hunter Rd Ste 106, San Marcos, TX 78666-5256 | 2007-07-10 |
| 1316150535 | San Marcos Family Medicine | Family Medicine | 1999 Medical Pkwy, Suite A, San Marcos, TX 78666-7850 | 2007-05-07 |
| 1043359219 | Luis J Navazo | Family Medicine | 1582 W San Marcos Blvd Ste 100, San Marcos, CA 92078-4081 | 2007-02-05 |
| 1790833119 | Liliana Alvarez-martinez | Family Medicine | 727 W San Marcos Blvd Ste 112, San Marcos, CA 92078-1244 | 2007-01-08 |
| 1396856837 | Steven Rar Bates | Family Medicine | Cal State San Marcos, Student Health and Counseling Services, San Marcos, CA 92096-0001 | 2006-08-31 |
| 1336164425 | Alan Lane Lee | Family Medicine | 2406 Hunter Rd, Suite 106, San Marcos, TX 78666-5255 | 2006-07-12 |
| Find all providers in SAN MARCOS | ||||
| City | SAN MARCOS |
| Zip Code | 92069 |
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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.