JOANNA CAMILLE NICHOLSON (NPI# 1982833232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982833232 |
| Entity Type | Individual |
| Full Name | JOANNA CAMILLE NICHOLSON |
| Credential | PA-C |
| Practice Address |
9339 Genesee Ave Plaza 39 San Diego CA 92121-2119 |
| Mailing Address |
Po Box 12060 Las Vegas NV 89112-0060 |
| Practice Telephone | 8584557557 |
| Practice Fax Number | 8584551287 |
| Mailing Telephone | 7023602100 |
| Mailing Fax Number | 9095571924 |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2011-12-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
16008 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9339 GENESEE AVE PLAZA 39 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285608331 | Nancy V. Canty | Nurse Practitioner | 9339 Genesee Ave, Suite 220, San Diego, CA 92121-2119 | 2006-02-15 |
| 1881062438 | Leysin Fletcher | Physician Assistant | 9339 Genesee Ave, Suite 300, San Diego, CA 92121-2119 | 2015-09-11 |
| 1306212550 | Ucsd Physicians Network - Specialty Care | Obstetrics & Gynecology | 9339 Genesee Ave, Suite 220, San Diego, CA 92121-2119 | 2015-08-11 |
| 1861874885 | Douglas Wu | Specialist | 9339 Genesee Ave, Suite 300, San Diego, CA 92121-2119 | 2015-06-25 |
| 1578942447 | Synergy Specialists Medical Group | Specialist | 9339 Genesee Ave, Suite 150, San Diego, CA 92121-2119 | 2015-05-26 |
| 1932494945 | Sarah Anne Wilkinson | Obstetrics & Gynecology | 9339 Genesee Ave, Suite 220, San Diego, CA 92121-2119 | 2011-06-17 |
| 1164756532 | Ann Marie Navarra | Clinical Nurse Specialist | 9339 Genesee Ave, Suite 220, San Diego, CA 92121-2119 | 2009-10-01 |
| 1205160686 | Vanda R Lops | Nurse Practitioner | 9339 Genesee Ave, Suite 220, San Diego, CA 92121-2119 | 2009-10-01 |
| 1710211867 | Lauren A Robertson | Obstetrics & Gynecology | 9339 Genesee Ave, Suite 220, San Diego, CA 92121-2121 | 2009-09-22 |
| 1457500779 | Amita Jain | Obstetrics & Gynecology | 9339 Genesee Ave, Suite 220, San Diego, CA 92121-2119 | 2008-09-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
| 1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
| 1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
| 1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
| 1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
| 1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| Find all providers in zip 92121 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477932978 | Mobile Wound Care Physician Assistant Corporation | Physician Assistant | 2028 31st St, San Diego, CA 92104-5632 | 2015-05-29 |
| 1437454220 | Peter Deane Houston | Physician Assistant | 9040 Friars Rd Ste 230, San Diego, CA 92108-5860 | 2011-01-25 |
| 1720288087 | Laura Ruth Duffy | Physician Assistant | 1643 6th Ave, #204, San Diego, CA 92101-2757 | 2007-07-24 |
| 1861539348 | Norman K Moser | Physician Assistant | 34800 Bob Wilson Dr Suite 112, Nmcsd, San Diego, CA 92134-1112 | 2007-01-31 |
| 1538214515 | Shaun D Young | Physician Assistant | 8901 Activity Road, San Diego, CA 92126 | 2007-01-23 |
| 1174612170 | Jonathan Wu | Physician Assistant | 7525 Metropolitan Dr Ste 306, San Diego, CA 92108-4404 | 2006-10-11 |
| 1982798112 | Virginia Ann Floco | Physician Assistant | 3030 Childrens Way Ste 402, San Diego, CA 92123-4228 | 2006-10-03 |
| 1366464471 | Colleen Gustafson Espenschied | Physician Assistant | 2017 1st Ave, San Diego, CA 92101-2033 | 2006-07-25 |
| 1396719779 | Brian Joseph O'neill | Physician Assistant | 11532 Village Ridge Rd, San Diego, CA 92131-3905 | 2006-02-14 |
| 1619974623 | Kimberlee J Knox | Physician Assistant | 3307 4th Ave, San Diego, CA 92103-5703 | 2005-07-05 |
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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.