STEPHEN R CARLSON (NPI# 1902824923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902824923 |
| Entity Type | Individual |
| Full Name | STEPHEN R CARLSON |
| Credential | MD |
| Practice Address |
9888 Genesee Ave La Jolla CA 92037-1205 |
| Mailing Address |
1801 W Olympic Blvd #1016 Pasadena CA 91199-0001 |
| Practice Telephone | 8586266000 |
| Mailing Telephone | 8002888325 |
| Mailing Fax Number | 4198665453 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2017-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
G49603 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G496030 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699743518 | Stephen James Carlson | Internal Medicine | 7950 N Shadeland Avenue, Suite 350, Indianapolis, IN 46250 | 2006-03-08 |
| 1245669688 | Stephen Carlson | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2013-11-06 |
| 1346473451 | Stephen Bradfield Carlson | Pharmacist | 226 Se 8th Ave, Hillsboro, OR 97123-4218 | 2009-08-24 |
| 1174758569 | Stephen Haynes Carlson | Psychologist | 298 Grand Ave, #100, Oakland, CA 94610-4724 | 2009-05-28 |
| 1528181245 | Stephen John Carlson | Family Medicine | 819 Ash St, Spooner, WI 54801-1201 | 2007-04-09 |
| 1033229612 | Stephen Carlson | Family Medicine | 2655 Cty Hwy I, Chippewa Fls, WI 54729 | 2006-08-30 |
| 1689680530 | Stephen Carlson | Anesthesiology | 911 W 5th Ave, Spokane, WA 99204-2901 | 2006-07-31 |
| 1972531291 | Stephen Ray Carlson | Family Medicine | 4212 Grand Ave, Duluth, MN 55807-2737 | 2006-06-28 |
| 1144211608 | Stephen E Carlson | Internal Medicine | 1011 Reed Ave, Suite 300, Wyomissing, PA 19610-2002 | 2005-11-03 |
| 1023009883 | Stephen Douglas Carlson | Anesthesiology | 515 Main St, Olean, NY 14760-1513 | 2005-11-02 |
| Street Address |
9888 GENESEE AVE |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700886207 | Gregory Daniel Medley | Pharmacist | 9888 Genesee Ave, Lj-18, La Jolla, CA 92037-1276 | 2005-07-26 |
| 1548867864 | Caitlin Hopkins | Physician Assistant | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2020-10-08 |
| 1750998191 | Ginger Lo | Pharmacist | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2020-09-29 |
| 1265045652 | Leslie Ann Reynolds | Nurse Practitioner | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2020-08-26 |
| 1629690946 | Lillian H Pak | Registered Nurse | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2020-05-08 |
| 1285274894 | Diane Morgan | Pharmacist | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2020-01-11 |
| 1326684473 | Gina Marie Costi-wong | Speech-Language Pathologist | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2019-11-25 |
| 1144866294 | Cedar Raymond | Speech-Language Pathologist | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2019-11-25 |
| 1831735232 | Kyle Wade | Speech-Language Pathologist | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2019-11-20 |
| 1558903682 | Rajvi Rajesh Patel | Pharmacist | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2019-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710244744 | Adam Joseph Gomez | Pathology | 9888 Genesee Ave # Lj112, La Jolla, CA 92037-1205 | 2012-04-16 |
| 1518165059 | John C. Nguyen | Pathology | 505 Coast Blvd S, La Jolla, CA 92037-4616 | 2007-07-05 |
| 1124108097 | Keith Edward Thompson | Pathology | 10666 N Torrey Pines Rd # 211c, La Jolla, CA 92037 | 2006-10-16 |
| 1215201983 | Vighnesh Walavalkar | Pathology | 9500 Gilman Dr, La Jolla, CA 92093-5004 | 2012-02-28 |
| 1679892798 | Chet Schwab | Pathology | 9500 Gilman Dr, La Jolla, CA 92093-5004 | 2010-05-28 |
| 1336475409 | Fei Bao | Pathology | 10666 N Torrey Pines Rd, La Jolla, CA 92037 | 2009-10-26 |
| 1255665642 | Saskia Boisot | Pathology | 10666 N Torrey Pines Rd, Mc211c, La Jolla, CA 92037-1027 | 2009-10-01 |
| 1205032752 | Mariah Ruth Baughn | Pathology | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2007-06-22 |
| 1770615379 | Kurt Ronald Mathews | Pathology | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2007-03-09 |
| 1194870956 | Michael Quigley | Pathology | 10666 N Torrey Pines Rd, Dept of Pathology, La Jolla, CA 92037-1027 | 2007-01-24 |
| Find all providers in LA JOLLA | ||||
Please comment or provide details below to improve the information on STEPHEN R CARLSON.
| 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.