HEALTHCARE MEDICAL GROUP OF LA MESA (NPI# 1962657395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962657395 |
| Entity Type | Organization |
| Organization Name | HEALTHCARE MEDICAL GROUP OF LA MESA |
| Practice Address |
7339 El Cajon Blvd La Mesa CA 91941-3435 |
| Mailing Address |
9276 Scranton Rd Suite 100 San Diego CA 92121-7701 |
| Practice Telephone | 6196980606 |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2017-01-13 |
| Authorized Official Name | SCOTT PETERSON (CFO) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | A42653 | CA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124165337 | Healthcare Medical Group of La Mesa | Specialist | 7339 El Cajon Blvd, Suite I, La Mesa, CA 91941-3435 | 2007-01-30 |
| Street Address |
7339 EL CAJON BLVD |
| City | LA MESA |
| State | CA |
| Zip Code | 91941-3435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841252988 | Roman B Cham | Specialist | 7339 El Cajon Blvd, Suite B, La Mesa, CA 91942-7435 | 2006-04-04 |
| 1275056954 | Jacqueline G Marquez | Counselor | 7339 El Cajon Blvd, La Mesa, CA 91942-7435 | 2017-07-25 |
| 1588187330 | Christina M Hyland | Counselor | 7339 El Cajon Blvd, La Mesa, CA 91942-7435 | 2017-07-24 |
| 1679094783 | Sheba Andrew | Counselor | 7339 El Cajon Blvd, La Mesa, CA 91942-7435 | 2017-06-28 |
| 1437523297 | Ashley Day | Behavioral Analyst | 7339 El Cajon Blvd, Suite J, La Mesa, CA 91942-7435 | 2015-11-17 |
| 1477926319 | Amy Farabaugh | Physician Assistant | 7339 El Cajon Blvd, Suite I, La Mesa, CA 91942-7435 | 2015-10-31 |
| 1992129340 | Jessica Chitura | Counselor | 7339 El Cajon Blvd, Suite K, La Mesa, CA 91942-7435 | 2014-02-05 |
| 1912246448 | Sourcepoint Acupuncture Inc | Acupuncturist | 7339 El Cajon Blvd, Suite M, La Mesa, CA 91942-7435 | 2013-02-04 |
| 1689957284 | Rosalinda Chandarlis | Marriage & Family Therapist | 7339 El Cajon Blvd, Suite K, La Mesa, CA 91942 | 2011-09-21 |
| 1952691883 | Roman B Cham Md Inc | Specialist | 7339 El Cajon Blvd, Suite B, La Mesa, CA 91942-7435 | 2011-04-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659914588 | Aja Encinas | Midwife | 9461 Grossmont Summit Drive Suite A, La Mesa, CA 91941 | 2019-10-23 |
| 1750889861 | Kasey Higgins | Nurse Practitioner | 10862 Calle Verde # S93, La Mesa, CA 91941 | 2018-01-24 |
| 1801325238 | Edward Rabinovich, Dds, Inc. | Dentist | 3855 Avocado Blvd., Ste. 250, La Mesa, CA 91941 | 2017-06-08 |
| 1003204140 | Cierra Lancaster | Case Manager/Care Coordinator | 4287 Palm Ave #32, La Mesa, CA 91941 | 2014-12-23 |
| 1710388533 | Affordable In Home Care | Home Health | 7953 Lemon Circle, La Mesa, CA 91941 | 2014-09-11 |
| 1902206063 | Rachel Llanes | Marriage & Family Therapist | 4849 Schuyler Avenue, La Mesa, CA 91941 | 2014-08-26 |
| 1497185540 | Benjamin J Mandel | Dentist | 3835 Avocado Blvd #220, Lamesa, CA 91941 | 2013-11-26 |
| 1487084901 | Accuquest Hearing Centers | Clinic/Center | 5105 Garfield Street, La Mesa, CA 91941 | 2013-11-19 |
| 1447551353 | John Chuol Kuek | Marriage & Family Therapist | 4060 Fairmount Avenue, San Diego, CA 91941 | 2010-11-09 |
| 1588808463 | Aesthetic Arts Institute of Plastic Surgery, LLC | Clinic/Center | 8415 Grant Avenue, La Mesa, CA 91941 | 2009-04-23 |
| Find all providers in zip 91941 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1043719206 | Southern California Orthopedic Institute L.p | Non-Pharmacy Dispensing Site | 4100 Empire Dr Ste 120, Bakersfield, CA 93309-0408 | 2018-02-02 |
| 1174032353 | Golden Gate Urology, Inc. | Non-Pharmacy Dispensing Site | 139 Townsend St Ste 100, San Francisco, CA 94107-1946 | 2017-09-20 |
| 1215462080 | Mas Management Group, Inc. | Non-Pharmacy Dispensing Site | 28446 Constellation Rd, Valencia, CA 91355-5081 | 2017-04-28 |
| 1730624719 | St. John's Well Child and Family Center Inc | Non-Pharmacy Dispensing Site | 326 W 23rd St, Los Angeles, CA 90007-2612 | 2016-12-29 |
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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.