JIMMY HENRY FADDIS I (NPI# 1922660695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922660695 |
| Entity Type | Individual |
| Full Name | JIMMY HENRY FADDIS I |
| Practice Address |
430 F St Chula Vista CA 91910-3711 |
| Practice Telephone | 6194203620 |
| Mailing Telephone | 6194203620 |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | CA | Student, Health Care |
| Street Address |
430 F ST |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91910-3711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972656056 | South Bay Community Services | Clinic/Center | 430 F St, Chula Vista, CA 91910-3711 | 2007-01-19 |
| 1861090797 | Yvette Laguitan | Case Manager/Care Coordinator | 430 F St, Chula Vista, CA 91910-3711 | 2020-10-13 |
| 1427674688 | Lizbeth Noriega | Marriage & Family Therapist | 430 F St, Chula Vista, CA 91910-3711 | 2020-06-23 |
| 1528696747 | Luisiana Y Aguayo | Marriage & Family Therapist | 430 F St, Chula Vista, CA 91910-3711 | 2020-04-01 |
| 1356981583 | Valerie Nolasco | Marriage & Family Therapist | 430 F St, Chula Vista, CA 91910-3711 | 2020-01-15 |
| 1497390553 | Karina Isabel Rico | Counselor | 430 F St, Chula Vista, CA 91910-3711 | 2019-11-13 |
| 1851940084 | Sinthia Garcia | Case Manager/Care Coordinator | 430 F St, Chula Vista, CA 91910-3711 | 2019-09-10 |
| 1568023596 | Nancy Jimenez | Marriage & Family Therapist | 430 F St, Chula Vista, CA 91910-3711 | 2019-06-20 |
| 1366002917 | Megan Kelly Rogers | Counselor | 430 F St, Chula Vista, CA 91910-3711 | 2019-06-17 |
| 1104385830 | Giovanna Montoya | Case Manager/Care Coordinator | 430 F St, Chula Vista, CA 91910-3711 | 2019-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477194264 | Joshua Maurice Hayden | Dental Hygienist | 678 Thrid Ave, Chula Vista, CA 91910 | 2019-10-02 |
| 1255980504 | Samantha Bernaldo | Dental Hygienist | 668 Third Ave, Chula Vista, CA 91910 | 2019-09-10 |
| 1073179529 | Roshni Kakaiya | Student in an Organized Health Care Education/Training Program | 435 H Street, Cv112, Chula Vista, CA 91910 | 2019-05-09 |
| 1598232506 | Naria Le Mire | Dietitian, Registered | 288 Broadway #141a, Chula Vista, CA 91910 | 2018-10-28 |
| 1730676727 | Pei Chi Chain | Optometrist | 324 F Street., Chula Vista, CA 91910 | 2018-04-16 |
| 1104332741 | Teodoro David Pena | Dentist | 510 Broadway Ste 4-5, Chula Vista, CA 91910 | 2017-12-19 |
| 1538684865 | Camille Cooke | Counselor | 430 F. Street, Chula Vista, CA 91910 | 2017-08-08 |
| 1184146094 | Alexandra Lynn Scovill | Optometrist | Castillejos Eye Institute Medical Group, 342 F Street, Chula Vista, CA 91910 | 2017-07-12 |
| 1396270583 | Tam Trieu | Pharmacist | 555 Broaway Suite 1054, Chula Vista, CA 91910 | 2017-04-25 |
| 1548792815 | Sabrina Owens | Family Medicine | 499 H Street Cv112, Chula Vista, CA 91910 | 2017-03-28 |
| Find all providers in zip 91910 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366055477 | Emma Wan | Student in an Organized Health Care Education/Training Program | 855 Third Ave Ste 2230, Chula Vista, CA 91911-1350 | 2020-08-28 |
| 1659991198 | Cindy Way | Student in an Organized Health Care Education/Training Program | 1161 Bay Blvd. Ste. B Chula Vista,ca 91911, Chula Vista, CA 91911 | 2020-04-24 |
| 1083243455 | Uriel Angel Gonzalez | Student in an Organized Health Care Education/Training Program | 1161 Bay Boulevard B, Chula Vista, Chula Vista, CA 91911 | 2020-04-07 |
| 1396373619 | Juan Carlos Lozano | Student in an Organized Health Care Education/Training Program | 435 H St # 112, Chula Vista, CA 91910-4307 | 2020-03-31 |
| 1396382206 | Oscar Brian Castillo | Student in an Organized Health Care Education/Training Program | 9123 Stylus Street Apt 301, Chula Vista, CA 91915 | 2019-12-10 |
| 1073179529 | Roshni Kakaiya | Student in an Organized Health Care Education/Training Program | 435 H Street, Cv112, Chula Vista, CA 91910 | 2019-05-09 |
| 1497217756 | Rachel Buehler Van Hollebeke | Student in an Organized Health Care Education/Training Program | 435 H St, Cv112, Chula Vista, CA 91910-4307 | 2019-04-04 |
| 1760986889 | Athena Celeste Arias | Student in an Organized Health Care Education/Training Program | 480 Fourth Ave Ste 302, Chula Vista, CA 91910-4403 | 2018-03-22 |
| 1467984674 | Cindy Parra | Student in an Organized Health Care Education/Training Program | 1021 Hawthorne Creek Dr, Chula Vista, CA 91914-2618 | 2017-03-28 |
| 1831633189 | Cleveland Eugene Gardner IIi | Student in an Organized Health Care Education/Training Program | 1066 Mount Whitney Rd, Chula Vista, CA 91913-2850 | 2016-12-06 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91910 |
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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.