SARAH REBECCA MARIETTI SHEPHERD (NPI# 1801094115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801094115 |
| Entity Type | Individual |
| Full Name | SARAH REBECCA MARIETTI SHEPHERD |
| Other Name | SARAH REBECCA MARIETTI |
| Credential | M.D. |
| Practice Address |
7920 Frost St Ste 200 San Diego CA 92123-2736 |
| Mailing Address |
3860 Calle Fortunada Ste #210 San Diego CA 92123-4802 |
| Practice Telephone | 8582798527 |
| Practice Fax Number | 8589668479 |
| Mailing Telephone | 8583096303 |
| Enumeration Date | 2007-07-08 |
| Last Update Date | 2011-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | A106447 | CA | Allopathic & Osteopathic Physicians |
| Y | 2088P0231X |
Urology Specialization: Pediatric Urology |
A106447 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
7920 FROST ST STE 200 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-2736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710988605 | Suzanne D Dixon | Pediatrics | 7920 Frost St, Ste 200, San Diego, CA 92123-2736 | 2005-08-02 |
| 1598141475 | Miguel Del Campo Casanelles | Medical Genetics | 7920 Frost St, Ste 200, San Diego, CA 92123-2736 | 2015-08-03 |
| 1255728713 | Sophia Ceulemans | Genetic Counselor, MS | 7920 Frost St, Ste 200, San Diego, CA 92123-2736 | 2015-04-22 |
| 1780811786 | Samuel Lance | Plastic Surgery | 7920 Frost St, Ste 200, San Diego, CA 92123-2736 | 2009-06-17 |
| 1316101256 | Kelly A Swords | Urology | 7920 Frost St, Ste 200, San Diego, CA 92123-2736 | 2008-07-10 |
| 1326207283 | Leslie Q Hsieh | Pediatrics | 7920 Frost St, Suite 200, San Diego, CA 92123-2736 | 2008-06-05 |
| 1407027097 | Suhas Radhakrishna | Pediatrics | 7920 Frost St, Ste 200, San Diego, CA 92123-2736 | 2008-03-21 |
| 1427238716 | Nancy Armistead Schanzlin | Nurse Practitioner | 7920 Frost St, San Diego, CA 92123-2736 | 2007-11-05 |
| 1083827273 | Choon Soo Rim | Psychiatry & Neurology | 7920 Frost St, Suite 101, San Diego, CA 92123-2732 | 2007-05-07 |
| 1134256639 | Ann Marie Berger-finley | Nurse Practitioner | 7920 Frost St, Ste #200, San Diego, CA 92123-2736 | 2007-02-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 2088P0231X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| Specialization | Pediatric Urology |
| Surgeons who can diagnose, treat, and manage children’s urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). |
| Notes: Source: American Academy of Pediatrics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790326825 | Faculty Physicians and Surgeons of Llusm | Urology | 11360 Mt View Ave Ste B, Loma Linda, CA 92354-3834 | 2019-09-30 |
| 1124416813 | Igal Silber | Urology | 2645 Nido Way, Laguna Beach, CA 92651-4024 | 2015-01-02 |
| 1922430016 | Alan M Freedman M D Inc | Urology | 401 Old Newport Blvd Ste 101, Newport Beach, CA 92663-4276 | 2013-07-31 |
| 1639449614 | Herbert Schwarz | Urology | 12011 Theta Rd, Santa Ana, CA 92705-3328 | 2012-01-06 |
| 1518194935 | Renea Sturm | Urology | 200 Ucla Medical Plz Ste 170, Los Angeles, CA 90095-8344 | 2009-06-11 |
| 1295900439 | Faculty Physicians and Surgeons of Llusm | Urology | 11370 Anderson St Ste 2050, Loma Linda, CA 92354-3450 | 2008-04-29 |
| 1598938243 | Jennifer Hsueh-lin Yang | Urology | Ucsf Department of Urology, 400 Parnassus Avenue, A633, San Francisco, CA 94143-0001 | 2008-04-02 |
| 1386829034 | University Childrens Medical Group | Urology | 4650 W Sunset Blvd # 114, Los Angeles, CA 90027-6062 | 2007-12-31 |
| 1255522538 | Andy Yu-how Chang | Urology | 6430 W Sunset Blvd Ste 600, Los Angeles, CA 90028-7909 | 2007-08-05 |
| 1851500573 | Hillary L Copp | Urology | Ucsf Dept of Urology, 400 Parnassus Ave, San Francisco, CA 94143-0001 | 2007-05-21 |
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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.