MOBILE PICC NURSE


Address: 10981 San Diego Mission Rd Ste 112, San Diego, CA 92108-2448
Phone: 6196937399

MOBILE PICC NURSE (NPI# 1801307822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801307822
Entity Type Organization
Organization Name MOBILE PICC NURSE
Practice Address 10981 San Diego Mission Rd Ste 112
San Diego
CA 92108-2448
Practice Telephone 6196937399
Practice Fax Number 8778879814
Mailing Telephone 6196937399
Mailing Fax Number 8778879814
Enumeration Date 2017-10-17
Last Update Date 2019-09-27
Authorized Official Name MARIVIC GUZMAN (PRESIDENT/CEO)
Authorized Official Telephone 6199720844
Authorized Official Credential BSN RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Suppliers
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Provider Secondary Practice Location

Address Telephone Number Fax Number
10981 San Diego Mission Rd Ste 112, San Diego, CA 921082448 6196937399 8778879814

Office Location

Street Address 10981 SAN DIEGO MISSION RD STE 112
City SAN DIEGO
State CA
Zip Code 92108-2448

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649757337 Marivic Guzman Registered Nurse 10981 San Diego Mission Rd Ste 112, San Diego, CA 92108-2448 2018-07-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952902801 Keri Castaneda Behavior Technician 025 Camino Del Rio South Suite 101, San Diego, CA 92108 2020-11-06
1457963738 Diyana Giorgees Case Manager/Care Coordinator 5005 Texas Street, St. 203, San Diego, CA 92108 2020-08-19
1780211896 Lori Mildred Jerman Marriage & Family Therapist Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 2020-03-26
1285260737 Demetrius Anderson Counselor Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 2020-03-17
1033742465 Dasc Medical Inc Durable Medical Equipment & Medical Supplies 5520 Gill Village Way, 907, San Diego, CA 92108 2020-02-13
1508401092 Chanda Denee Kizer Marriage & Family Therapist 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 2019-11-08
1225695562 Jenna Rose Shurer Nurse Practitioner 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 2019-05-22
1952967812 Martha Kebede Mekonen Chiropractor 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 2019-05-16
1053886135 Andrea Jiselly Munoz Behavior Technician 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 2018-10-04
1386128916 Sarah Elisabeth Smith Counselor 7575 Metropolitan Dr., San Diego, CA 92108 2018-09-19
Find all providers in zip 92108

Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275006173 Balboa Surgical Institute, Inc. Clinic/Center 7625 Mesa College Drive, Suite 315a, San Diego, CA 92111-5343 2019-01-03
1598276404 Balboa Nephrology Medical Group,inc. Clinic/Center 6402 El Cajon Blvd Ste 100, San Diego, CA 92115-2645 2017-10-18
1316462377 Ucsd Surgical Center of San Diego, LLC Clinic/Center 4910 Directors Pl Ste 100, San Diego, CA 92121-3814 2017-08-10
1710325220 Carmel Valley Surgical Center Clinic/Center 11943 El Camino Real, Suite 100, San Diego, CA 92130-2597 2013-06-06
1346515095 Medical Acadamy of Hawaii and Anatomical Learning Orginization Clinic/Center 5286 Eastgate Mall, San Diego, CA 92121-2815 2012-03-14
1245534460 The Hilinski Ambulatory Surgery Center Clinic/Center 3720 4th Avenue, San Diego, CA 92103 2011-01-03
1538463153 La Jolla Surgery Center Clinic/Center 4510 Executive Dr Ste 200a, San Diego, CA 92121-3023 2010-12-23
1922324177 Surgical Center of San Diego, LLC Clinic/Center 4910 Directors Place, Suite 100, San Diego, CA 92121-3814 2010-04-13
1194968677 Professional Surgicenter, Inc Clinic/Center 4510 Executive Dr Ste 105a, San Diego, CA 92121-3022 2009-04-13
1578729539 The Reservoir Physicans Surgery Center, LLC Clinic/Center 6716 Alvarado Rd, San Diego, CA 92120 2008-07-30
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Competitor

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City SAN DIEGO
Zip Code 92108

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Dataset Information

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.

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