TRACY MEJIA SEBASTIAN


Address: 6645 Alvarado Rd, San Diego, CA 92120-5208
Phone: 8588100387

TRACY MEJIA SEBASTIAN (NPI# 1962716183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962716183
Entity Type Individual
Full Name TRACY MEJIA SEBASTIAN
Other Name TRACY RITUALO MEJIA
Credential PA-C
Practice Address 6645 Alvarado Rd
San Diego
CA 92120-5208
Mailing Address 1934 Corte Maravilla
Chula Vista
CA 91914-4627
Practice Telephone 8588100387
Mailing Telephone 6199625508
Enumeration Date 2010-07-29
Last Update Date 2014-04-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA21043 CA Physician Assistants & Advanced Practice Nursing Providers

Other Providers TRACY SEBASTIAN

NPI Name Taxonomy Address Enumeration
1326584038 Tracy Sebastian Social Worker 474 N Yellow Springs St, Springfield, OH 45504-2463 2017-01-19

Office Location

Street Address 6645 ALVARADO RD
City SAN DIEGO
State CA
Zip Code 92120-5208

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699741645 Patrick Anthony Delaney Psychiatry & Neurology 6645 Alvarado Rd, Suite 229, San Diego, CA 92120-5208 2006-02-28
1548734577 Steven Edward Keller Physical Therapist 6645 Alvarado Rd, San Diego, CA 92120 2019-01-12
1609146661 Regional Head & Neck Surgical Associates Otolaryngology 6645 Alvarado Rd, Ste 4000, San Diego, CA 92120-5208 2012-01-09
1235407685 San Diego Regional Head & Neck Center Otolaryngology 6645 Alvarado Rd, Ste 4000, San Diego, CA 92120-5208 2011-12-13
1093018764 Andre Gallares Physician Assistant 6645 Alvarado Rd, Suite 4000, San Diego, CA 92120-5208 2010-12-17
1649570284 Cheryl Emily Kyinn Physician Assistant 6645 Alvarado Rd, Suite 415, San Diego, CA 92120-5208 2010-10-29
1407181035 Brigitte Korkuch Physician Assistant 6645 Alvarado Rd, Ste 415, San Diego, CA 92120-5208 2009-10-15
1245471853 Bryna Elizabeth Florence Physician Assistant 6645 Alvarado Rd, Suite 415, San Diego, CA 92120-5208 2009-03-11
1780822213 San Diego Neuro Trauma Associates, Inc. Neurological Surgery 6645 Alvarado Rd, Suite 4000, San Diego, CA 92120-5208 2009-01-21
1922264845 Hussein Abdulhadi, Md Pain Medicine 6645 Alvarado Rd, Suite 253, San Diego, CA 92120-5208 2008-07-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316550510 Jessica Elizabeth Knight Student in an Organized Health Care Education/Training Program 6383 Alvarado Ct, 310, San Diego, CA 92120 2020-08-26
1770195091 Julia Roccanova Student in an Organized Health Care Education/Training Program 6383 Alvarado Court, Suite 310, San Diego, CA 92120 2020-08-18
1225593601 Truself Training, Inc Clinic/Center 5125 Waring Road, San Diego, CA 92120 2019-02-09
1508381799 Antin Sachs In Home Supportive Care 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 2017-08-08
1588186415 Matthew B Wilbat Behavioral Analyst 6851 Alvarado Rd., #17, San Diego, CA 92120 2017-07-12
1548782923 Mori Khatibzadeh Dds Inc. Clinic/Center 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 2017-07-07
1306379359 Ken Samith Oerding Nurse Practitioner 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 2017-04-06
1396134409 Debra Michele Stern-ellis Social Worker 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 2015-01-13
1821494717 Shohreh Tourian Dentist 7451 Mission Gorge Road, San Diego, CA 92120 2014-11-05
1184049215 Charles Yin Counselor 6153 Fairmount Ave Suite #260, San Diego, CA 92120 2014-02-26
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528610870 Josephine Hoa Ngoc Mai Physician Assistant 3050 Rue Dorleans Unit 291, San Diego, CA 92110-5904 2019-07-16
1962966309 Tashina Jessica Kraintz Physician Assistant 10431 Caminito Alvarez, San Diego, CA 92126-5838 2019-01-30
1801314042 Erika Dimitra Couris Physician Assistant 3969 Fourth Ave, #301, San Diego, CA 92103-9210 2017-09-08
1871859421 Lisa Nakhleh Boyd Physician Assistant 2999 Health Center Drive, San Diego, CA 92123 2012-04-09
1760759104 Brandon William Schroth Physician Assistant 357051 Nasni, Commander Naval Air Forces, San Diego, CA 92135-7051 2011-11-30
1891080750 Jennifer K Nguyen Physician Assistant 1466 Mariposa Street, San Diego, CA 92114-3612 2011-06-17
1942510698 Laurie Anne Reeves Physician Assistant 6367 Alvardo Ct., Suite #200, San Diego, CA 92120 2010-10-15
1568783108 Monica Gable Physician Assistant 2929 Health Center Dr., San Diego, CA 92123-7741 2010-06-17
1932422698 Debbie Lo Flores Physician Assistant 5030 Camino De La Siesta Ste 204, San Diego, CA 92108-3118 2010-03-10
1801125034 Lindsey R Hayes Physician Assistant Quentin Roosevelt Blvd, Building 8, San Diego, CA 92135-7051 2009-12-17
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Competitor

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City SAN DIEGO
Zip Code 92120

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Dataset Information

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.

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