MR. CHARLES E. GLEESON (NPI# 1891847976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891847976 |
| Entity Type | Individual |
| Full Name | MR. CHARLES E. GLEESON |
| Credential | RN, NP |
| Practice Address |
11770 Bernardo Plaza Ct Suite 370 San Diego CA 92128-2422 |
| Mailing Address |
Po Box 609001 San Diego CA 92160-9001 |
| Practice Telephone | 8586733360 |
| Practice Fax Number | 6195284625 |
| Mailing Telephone | 6195284600 |
| Mailing Fax Number | 6195284625 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-02-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN334572 | CA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
NP16543 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497956478 | Charles Leroy Gleeson | Pharmacist | 9889 Cr 29, Blair, NE 68008 | 2007-05-29 |
| Street Address |
11770 BERNARDO PLAZA CT SUITE 370 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92128-2422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457351439 | Eloise R. Johnston & Associates | Speech-Language Pathologist | 11770 Bernardo Plaza Ct, Suite 208, San Diego, CA 92128-2422 | 2005-07-29 |
| 1679189278 | Tianna M Duquette | Behavioral Analyst | 11770 Bernardo Plaza Ct, San Diego, CA 92128-2422 | 2020-09-18 |
| 1538793294 | Juzenne Cruz | Behavior Technician | 11770 Bernardo Plaza Ct, San Diego, CA 92128-2422 | 2020-03-02 |
| 1205489887 | Sydney Selecky | Behavior Technician | 11770 Bernardo Plaza Ct, San Diego, CA 92128-2422 | 2019-07-22 |
| 1184187478 | Arianna Spata | Behavior Technician | 11770 Bernardo Plaza Ct, San Diego, CA 92128-2422 | 2019-04-12 |
| 1588127880 | Myshayla Fryer | Behavior Technician | 11770 Bernardo Plaza Ct, San Diego, CA 92128-2422 | 2019-04-12 |
| 1427511211 | Denae Padilla | Behavior Technician | 11770 Bernardo Plaza Ct, San Diego, CA 92128-2422 | 2019-04-09 |
| 1700348612 | Sonja Sunny Cash | Behavior Technician | 11770 Bernardo Plaza Ct, San Diego, CA 92128-2422 | 2019-04-01 |
| 1336600691 | Guadalupe Ramirez | Behavior Technician | 11770 Bernardo Plaza Ct, San Diego, CA 92128-2422 | 2019-03-28 |
| 1770044026 | Shauna Davis | Behavior Technician | 11770 Bernardo Plaza Ct, San Diego, CA 92128-2422 | 2019-03-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
| 1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
| 1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
| 1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
| 1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
| 1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
| 1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
| Find all providers in zip 92128 | ||||
| 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 |
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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.