DR. JACOB KURIAKOSE (NPI# 1982759361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982759361 |
| Entity Type | Individual |
| Full Name | DR. JACOB KURIAKOSE |
| Credential | MD |
| Practice Address |
3250 Fordham St San Diego CA 92110-5397 |
| Mailing Address |
330 C Ave Coronado CA 92118-1406 |
| Practice Telephone | 8335742273 |
| Mailing Telephone | 6196722059 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3250 FORDHAM ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92110-5397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598870123 | Caroline Yen-hsueh Lin | Internal Medicine | 3250 Fordham St, San Diego, CA 92110-5339 | 2006-08-21 |
| 1326552092 | Courtney Funk | Social Worker | 3250 Fordham St, San Diego, CA 92110 | 2017-11-16 |
| 1679963490 | Paula Zand | Family Medicine | 3250 Fordham St, San Diego, CA 92110-5339 | 2015-02-01 |
| 1538429527 | Joseph B Tenenbaum | Family Medicine | 3250 Fordham St, San Diego, CA 92110-5339 | 2012-05-23 |
| 1912209743 | Thai Q Nguyen | Pharmacist | 3250 Fordham St, San Diego, San Diego, CA 92110-5339 | 2010-11-30 |
| 1558697334 | Hui-i Emily Hsieh | Internal Medicine | 3250 Fordham St, San Diego, CA 92110-5339 | 2009-10-28 |
| 1568634897 | Darice Diemtrang Nguyen | Pharmacist | 3250 Fordham St, San Diego, CA 92110-5339 | 2008-03-26 |
| 1083885354 | Ethan Van Truong | Pharmacist | 3250 Fordham St, San Diego, CA 92110-5339 | 2008-03-14 |
| 1396936480 | Ellina Bekkerman-donner | Internal Medicine | 3250 Fordham St, San Diego, CA 92110-5339 | 2007-08-05 |
| 1497893887 | Gary Lynn Schroeder | Family Medicine | 3250 Fordham St, San Diego, CA 92110-5339 | 2007-02-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021713 | Ruben Daniel Gutierrez | Marriage & Family Therapist | 4141 Pacific Coast Hwy, San Diego, CA 92110 | 2019-09-10 |
| 1548724081 | Denise Ellen Thompson | Counselor | 3255 Wings Street, San Diego, CA 92110 | 2019-01-29 |
| 1801378716 | Michelle Lisa Jean Crawford | Student in an Organized Health Care Education/Training Program | 3767 Central Avenue, San Diego, CA 92110 | 2018-09-06 |
| 1427539048 | Allison Turrell | Case Manager/Care Coordinator | 4930 Naples Street, San Diego, CA 92110 | 2018-08-22 |
| 1750872768 | Matthew Langworthy | Physical Therapist | 3405 Kenyon St Ste 212, San Diego, CA 92110 | 2018-05-24 |
| 1245748342 | The One Health Boutique, LLC | Chiropractor | 5350 Riley St, San Diego, CA 92110 | 2018-01-11 |
| 1437670155 | Monique A Fernandez | Counselor | 3132 Jefferson Street, San Diego, CA 92110 | 2017-07-03 |
| 1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| 1912352576 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 3880 Rosecrans Street, San Diego, CA 92110 | 2016-05-02 |
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| 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 |
|---|---|---|---|---|
| 1033716204 | Julianne A. Demery | Student in an Organized Health Care Education/Training Program | Naval Base San Diego 2450 Craven Street #3300, San Diego, CA 92136-0001 | 2020-10-01 |
| 1649885732 | Leanne Evalyn Morancie | Student in an Organized Health Care Education/Training Program | 4231 Balboa Ave # 1245, San Diego, CA 92117-5504 | 2020-09-15 |
| 1689288136 | Melissa Eileen Fitzgibbon | Student in an Organized Health Care Education/Training Program | 5114 63rd St, San Diego, CA 92115-1407 | 2020-09-02 |
| 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 |
| 1861004392 | Mareena Biju | Student in an Organized Health Care Education/Training Program | 10995 Evening Creek Dr E, San Diego, CA 92128-4009 | 2020-08-17 |
| 1184235202 | Taylor G Wasko | Student in an Organized Health Care Education/Training Program | 4114 Swift Ave Apt 4, San Diego, CA 92104-2249 | 2020-08-12 |
| 1790394245 | Elisa Melo Da Silva Smerik | Student in an Organized Health Care Education/Training Program | 3235 Loma Riviera Dr, San Diego, CA 92110-5511 | 2020-07-29 |
| 1215554076 | Ana Mohammad-zadeh | Student in an Organized Health Care Education/Training Program | 17289 Russet St, San Diego, CA 92127-2135 | 2020-06-28 |
| 1265056048 | Tilbe Yildirim | Student in an Organized Health Care Education/Training Program | 1963 Fourth Ave., San Diego, CA 92101 | 2020-06-08 |
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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.