NICHOLAS PHILIP SAN JUAN (NPI# 1962632794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962632794 |
| Entity Type | Individual |
| Full Name | NICHOLAS PHILIP SAN JUAN |
| Practice Address |
978 Valecito Ct San Luis Obispo CA 93405-4740 |
| Mailing Address |
1408 Revere St Santa Maria CA 93455 |
| Practice Telephone | 8057813535 |
| Mailing Telephone | 8057813535 |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2011-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
978 VALECITO CT |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93405-4740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164076626 | Hilary Abbott Anderson | Physician Assistant | 127 Casa St., San Luis Obispo, CA 93405 | 2019-08-01 |
| 1811465834 | Fatemeh Ladan Ahmadinia | Dentist | 764 N Santa Rosa St, San Luis Obispo, CA 93405 | 2018-11-07 |
| 1538559794 | Arnold Martin Horwitz | Marriage & Family Therapist | 1605 Garnette Drive, San Luis Obispo, CA 93405 | 2015-01-27 |
| 1750794764 | Solmaz Naghsh | Pharmacist | 765 Foothill Blvd, San Luis Obispo, CA 93405 | 2014-06-06 |
| 1609293471 | Robert S. Flores Dmd, Inc | Dentist | 878 Boysen Avenue, San Luis Obispo, CA 93405 | 2014-03-18 |
| 1457776445 | Laura Anne Wilvert | Marriage & Family Therapist | 793 E. Foothill Blvd, Suite A, #278, San Luis Obispo, CA 93405 | 2014-02-27 |
| 1497181200 | Tracey Ruby Madrigal | Counselor | 1106 Oceanaire Dr. #25, San Luis Obispo, CA 93405 | 2013-09-25 |
| 1437597572 | Sarah Michelle Brenis | Counselor | 524 Princeton Place, San Luis Obispo, CA 93405 | 2013-06-11 |
| 1013350974 | Jenna Rose Ramos | Counselor | 1459 Descanso St., San Luis Obispo, CA 93405 | 2013-04-10 |
| 1700140696 | Christopher Dieterich Marchand | Social Worker | 793a E. Foothill Blvd, 190, San Luis Obispo, CA 93405 | 2012-06-26 |
| Find all providers in zip 93405 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1134615966 | Alyssa Carmina Schutzman | Counselor | 1255 Kendall Rd., San Luis Obispo, CA 93401-9340 | 2018-07-04 |
| 1245725803 | Sarah Minh Christman | Counselor | 540 South St Apt B, San Luis Obispo, CA 93401-5106 | 2018-06-26 |
| 1538668652 | Barton Bodrian | Counselor | 670 Hill St, San Luis Obispo, CA 93405-2373 | 2018-02-04 |
| 1164941738 | Bridget Schinnerer | Counselor | 381 Pismo St, San Luis Obispo, CA 93401-3828 | 2017-09-14 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1134587454 | Taylor Barnett | Counselor | 668 Johnson Ave, San Luis Obispo, CA 93401-2408 | 2016-02-01 |
| 1699131623 | Daniel Keller | Counselor | 785 High St, San Luis Obispo, CA 93401-5235 | 2016-01-06 |
| 1700241874 | Linda Hainline | Counselor | 3000 Augusta St, #129, San Luis Obispo, CA 93401-5859 | 2015-12-16 |
| 1942693858 | Amber Kae Scangarello | Counselor | 125 Kendall Rd, San Luis Obispo, CA 93401 | 2015-03-17 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93405 |
Please comment or provide details below to improve the information on NICHOLAS PHILIP SAN JUAN.
| 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.