JACK MCNERTNEY JR. (NPI# 1821484643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821484643 |
| Entity Type | Individual |
| Full Name | JACK MCNERTNEY JR. |
| Credential | RAS |
| Practice Address |
1560 Capalina Rd San Marcos CA 92069-1288 |
| Practice Telephone | 7607442104 |
| Practice Fax Number | 7607441382 |
| Mailing Telephone | 7607442104 |
| Mailing Fax Number | 7607441382 |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2015-04-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
M1307231136 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1560 CAPALINA RD |
| City | SAN MARCOS |
| State | CA |
| Zip Code | 92069-1288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376566455 | Kevin Paul Feig | Internal Medicine | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2006-07-26 |
| 1902414063 | Tasha Larae Smith | Counselor | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2020-07-15 |
| 1568088441 | Torey Elizabeth Leck | Counselor | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2020-06-17 |
| 1841832086 | Oscar Lopez Guevara | Counselor | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2019-10-09 |
| 1467014191 | Yidda Jazmin Mancinas | Counselor | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2019-07-02 |
| 1982163994 | Robert Lyons | Counselor | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2019-03-19 |
| 1932673928 | Jamie Lynn Lesage | Licensed Vocational Nurse | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2019-01-14 |
| 1679056816 | Josee Harris | Counselor | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2018-09-13 |
| 1053892133 | Bethany Anne Johnson | Case Manager/Care Coordinator | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2018-08-27 |
| 1659857985 | Kathleen Mary Delmastro | Licensed Vocational Nurse | 1560 Capalina Rd, San Marcos, CA 92069-1288 | 2018-07-19 |
| 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 | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477150118 | Cheyenne Jay Belhumeur | Counselor | 751 Rancheros Dr Ste 3-5, San Marcos, CA 92069-3041 | 2020-10-06 |
| 1548726086 | Christopher John Robert Popovich | Counselor | 1205 N Hwy 123 Ste 305, San Marcos, TX 78666-7756 | 2019-02-20 |
| 1780161158 | Virgil Dugan Garduque | Counselor | 751 Rancheros Dr Ste 11, San Marcos, CA 92069-3043 | 2018-07-27 |
| 1811406408 | Tiffany Tooley | Counselor | 808 Almond Rd, San Marcos, CA 92078-5379 | 2017-09-26 |
| 1891225355 | Lisa Mattey | Counselor | 340 Rancheros Dr Ste 16, San Marcos, CA 92069-2900 | 2017-06-18 |
| 1588100580 | Donna Ramido | Counselor | 1343 Avenida Arana, San Marcos, CA 92069-7333 | 2017-01-13 |
| 1497116115 | Rachel Truelove | Counselor | 1118 Advance St, San Marcos, TX 78666-3106 | 2016-03-08 |
| 1295110781 | Keeley Weise | Counselor | 751 Rancheros Dr Ste 5, San Marcos, CA 92069-3042 | 2015-07-24 |
| 1598170821 | Cognitive Health Solutions Corp | Counselor | 960 W San Marcos Blvd Ste 200, San Marcos, CA 92078-1146 | 2014-06-25 |
| 1609135730 | Elizabeth Jane Roper | Counselor | 340 Rancheros Dr Ste 166, San Marcos, CA 92069-2980 | 2012-05-09 |
| 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.