DR. LAURENCE STUART RIVKIN (NPI# 1821283318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821283318 |
| Entity Type | Individual |
| Full Name | DR. LAURENCE STUART RIVKIN |
| Credential | M.D. |
| Practice Address |
6265 Cypress Point Rd San Diego CA 92120-3814 |
| Practice Telephone | 6192651560 |
| Practice Fax Number | 6192651562 |
| Mailing Telephone | 6192651560 |
| Mailing Fax Number | 6192651562 |
| Enumeration Date | 2007-09-08 |
| Last Update Date | 2014-09-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
CFE28167 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
6265 CYPRESS POINT RD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120-3814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
| 1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
| 1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
| 1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
| 1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
| 1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
| 1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
| 1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
| Find all providers in zip 92120 | ||||
| Taxonomy Code | 2084B0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Behavioral Neurology & Neuropsychiatry |
| Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |
| Notes: Source: National Uniform Claim Committee. [1/1/2012: new] Additional Resources: American Academy of Neurology, www.aan.com. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669016028 | Aloha Integrative Health | Psychiatry & Neurology | 4520 Executive Dr Ste 227, San Diego, CA 92121-3020 | 2019-10-29 |
| 1891230868 | Kaizen Brain Center | Psychiatry & Neurology | 4510 Executive Dr, Suite 107, San Diego, CA 92121-3021 | 2016-12-30 |
| 1720367899 | Gabriel C Leger | Psychiatry & Neurology | 4510 Executive Dr Ste 325, San Diego, CA 92121 | 2011-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821624156 | Maria Elena Smith | Psychiatry & Neurology | 1068 Roy Frerichs Ln, Tracy, CA 95377-6605 | 2020-03-18 |
| 1639724057 | Nidal A Khalili Md,inc | Psychiatry & Neurology | 7551 Timberlake Way Ste 240, Sacramento, CA 95823-5422 | 2019-08-02 |
| 1871057687 | Justin Galvis | Psychiatry & Neurology | 3530 56th St, Sacramento, CA 95820-2341 | 2019-01-25 |
| 1861904401 | Monte S Buschsbaum | Psychiatry & Neurology | 1455 Coral Dr, Laguna Beach, CA 92651-1910 | 2017-11-03 |
| 1154864874 | Center for Neurohealth Inc | Psychiatry & Neurology | 4180 La Jolla Village Dr Ste 240, La Jolla, CA 92037 | 2016-11-29 |
| 1922481019 | Robert Rafal | Psychiatry & Neurology | 3 Captain Dr, Apt D404, Emeryville, CA 94608-1740 | 2015-07-07 |
| 1386993897 | Ernest William Klatte | Psychiatry & Neurology | 317 Ramona Place, Costa Mesa, CA 92627 | 2012-08-30 |
| 1265788426 | Sam A Castro, M.d., Inc. | Psychiatry & Neurology | 333 W Shaw Ave, #7, Fresno, CA 93704-2657 | 2012-07-25 |
| 1871858084 | Joseph H. Rodd M.d. Inc | Psychiatry & Neurology | 20710 S. Leapwood Ave., Suite B, Carson, CA 90746 | 2012-07-13 |
| 1235163320 | Paul H. Ackerman | Psychiatry & Neurology | 12520 Shady Dr, Ste 621, Los Angeles, CA 90049-3814 | 2006-07-11 |
| Find all providers with the same taxonomy | ||||
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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.