DEBRA JEANNE GRAHAM (NPI# 1790757623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790757623 |
| Entity Type | Individual |
| Full Name | DEBRA JEANNE GRAHAM |
| Other Name | DEBRA JEANNE WRIGHT |
| Credential | DNP |
| Practice Address |
4537 College Ave San Diego CA 92115-4010 |
| Mailing Address |
Po Box 1770 La Mesa CA 91944-1770 |
| Practice Telephone | 6192291895 |
| Practice Fax Number | 6192291837 |
| Mailing Telephone | 6194641165 |
| Mailing Fax Number | 6195671011 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2013-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 136486 | TN | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 657712 | CA | Nursing Service Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
15657 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
15657 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558784561 | Debra Graham | Physical Therapy Assistant | 38 Stockton Dr, Middletown, RI 02842-4823 | 2014-01-27 |
| 1902106602 | Debra E Graham | Registered Nurse | 391 W Herndon St, Hernando, FL 34442-5118 | 2010-10-27 |
| 1306913413 | Debra Nadine Graham | Massage Therapist | 296 Avenue A, Turners Falls, MA 01376 | 2006-11-30 |
| 1639469414 | Debra Lynn Graham | Physical Therapist | 105 Casey Rd, East Amherst, NY 14051-2224 | 2011-04-13 |
| 1730200825 | Debra Lawson Graham | Registered Nurse | 1308 Cradduck Rd, Ada, OK 74820-8442 | 2007-04-03 |
| 1548261381 | Debra A. Graham | Ophthalmology | 3585 Broadway St, North Bend, OR 97459-1251 | 2005-08-02 |
| Street Address |
4537 COLLEGE AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92115-4010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932611373 | Stephanie Jeanne Cascio | Nurse Practitioner | 4537 College Ave, San Diego, CA 92115-4010 | 2017-10-25 |
| 1184980930 | Neelakantan Ramineni Md, Inc. | Internal Medicine | 4537 College Ave, San Diego, CA 92115-4010 | 2012-04-05 |
| 1700083391 | Smit Chauhan | Psychiatry & Neurology | 4537 College Ave, San Diego, CA 92115-4010 | 2007-06-28 |
| 1881705127 | Yashwant Chaudhri Md A Prof Corp | Psychiatry & Neurology | 4537 College Ave, San Diego, CA 92115-4010 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313922 | Mayra Ailed Bugarin | Student in an Organized Health Care Education/Training Program | City Heights Family Health Center 5454, El Cajon Blvd, San Diego, CA 92115 | 2020-04-01 |
| 1093369878 | Chang Liu | Counselor | 3539 College Avenue, San Diego, CA 92115 | 2019-07-30 |
| 1689238560 | Donia Ahadian | Student in an Organized Health Care Education/Training Program | City Heights Family Health Center, 5454 El Cajon Blvd, San Diego, CA 92115 | 2019-04-26 |
| 1780157859 | James Michael Sites | Military Health Care Provider | Uss Shoup Ddg 86, San Diego, CA 92115 | 2019-01-10 |
| 1780163006 | Marcos Luis Sandoval | Case Manager/Care Coordinator | 6224 El Cajon Blvd, Suite 17, San Diego, CA 92115 | 2018-08-08 |
| 1437651981 | Phyllis Lynette Pryor | Licensed Vocational Nurse | 4974 El Cajon Blvd Suite A, San Diego, CA 92115 | 2018-03-01 |
| 1982125605 | Ellen Medical Transport | Non-emergency Medical Transport (VAN) | 4587 Winona Ave #5, San Diego, CA 92115 | 2017-07-03 |
| 1992225296 | P'okot LLC | Non-emergency Medical Transport (VAN) | 5511 Adelaide Ave, 26, San Diego, CA 92115 | 2017-06-27 |
| 1578019840 | Alfred Zygmunt Nowak | Specialist/Technologist | 6663 Reservoir Ln, San Diego, CA 92115 | 2016-08-28 |
| 1639534183 | Kalkaal Financial Enterprise, LLC. | Non-emergency Medical Transport (VAN) | 5055 Collwood Blvd., Unit 108, San Diego, CA 92115 | 2015-12-29 |
| Find all providers in zip 92115 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609431196 | Tanya Denise Stevenson-gaines | Nurse Practitioner | 13988 Royal Melbourne Sq, San Diego, CA 92128-3646 | 2019-05-09 |
| 1457788598 | Christopher John Reddin | Nurse Practitioner | Naval Medical Center San Diego C I D, 34800 Bob Wilson Drive, San Diego, CA 92134-0001 | 2013-10-03 |
| 1356650634 | Jamie M Sorenson | Nurse Practitioner | Center Star Act Mental Health Systems, 4283 El Cajon Blvd, Suite 115, San Diego, CA 92105-0001 | 2010-10-04 |
| 1023345204 | Nelda K. Coleman | Nurse Practitioner | 4715 Viewridge Avenue, Suite 230, San Diego, CA 92123 | 2009-11-10 |
| 1972506483 | Steven G Hogan | Nurse Practitioner | 8810 Rio San Diego Dr, San Diego, CA 92108-1698 | 2005-05-30 |
| 1396358024 | Stephanie Joyce Reed | Nurse Practitioner | 2630 1st Ave, San Diego, CA 92103-6599 | 2020-08-24 |
| 1104442185 | Joshua Don Dougherty | Nurse Practitioner | 1550 Hotel Cir N Ste 450, San Diego, CA 92108-2933 | 2020-06-24 |
| 1801422258 | Safiya Damali Daley | Nurse Practitioner | 1675 Morena Blvd, San Diego, CA 92110-3703 | 2020-03-17 |
| 1083247779 | Fernando Ebeo Serrano Jr. | Nurse Practitioner | 3491 Kurtz St Ste 150, San Diego, CA 92110-4430 | 2020-02-20 |
| 1538790605 | Kat Tupas Balingit | Nurse Practitioner | 140 Arbor Dr, San Diego, CA 92103-2007 | 2020-01-28 |
| 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.