MIRAMAR HEALTH PHYSICIANS GROUP (NPI# 1982996724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982996724 |
| Entity Type | Organization |
| Organization Name | MIRAMAR HEALTH PHYSICIANS GROUP |
| Other Organization Name | BRAIN CENTER TMS |
| Practice Address |
1321 Garnet Avenue San Diego CA 92109 |
| Mailing Address |
812 Emerald Bay Laguna Beach CA 92651-1273 |
| Practice Telephone | 6197624632 |
| Practice Fax Number | 8666755593 |
| Mailing Telephone | 9493700771 |
| Mailing Fax Number | 8666755593 |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2020-04-01 |
| Authorized Official Name | DERIK BRIAN (CEO/OWNER) |
| Authorized Official Telephone | 8009900340 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | Other Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Brain Center TMS | Other Name - Individual/Organization |
| Street Address |
1321 GARNET AVENUE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538620786 | San Diego Forensic Psychology Corporation | Psychologist | 4640 Cass Street, # 90422, San Diego, CA 92109 | 2019-03-29 |
| 1982113874 | Holly Mansur | Registered Nurse | 3663 Jewell Street, San Diego, CA 92109 | 2017-09-24 |
| 1669906178 | Kelley Ann Riley | Prevention Professional | 4328 Gresham St, San Diego, CA 92109 | 2017-04-12 |
| 1689113524 | Tyler Marquis | Pharmacist | 2636 Grand Avenue Apartment 326, San Diego, CA 92109 | 2017-02-13 |
| 1912372574 | Lonnie Butler | Doula | 841 Turquoise Street, F-405, San Diego, CA 92109 | 2015-12-08 |
| 1275924995 | Pratima S. Gowdar, Dds, Inc | Dentist | 4655 Cass St. Ste 104, San Diego, CA 92109 | 2015-02-17 |
| 1417388562 | Pacific Rim Pathology Medical Corporation | Clinical Medical Laboratory | 3030 Bunker Hill Street, Suite 201, San Diego, CA 92109 | 2013-11-27 |
| 1023379997 | Eric Berquist | Student in an Organized Health Care Education/Training Program | 2009 Reed Ave, San Diego, CA 92109 | 2012-06-06 |
| 1902109325 | Anna N Amagou | Behavioral Analyst | 2221 Felspar Street Apt #c, San Diego, CA 92109 | 2010-12-07 |
| 1225357833 | Gary L Matson Do Inc | Family Medicine | 4501 Mission Bay Dr 3e, San Diego, CA 92109 | 2010-05-21 |
| Find all providers in zip 92109 | ||||
| Taxonomy Code | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427500198 | Dialectical Behavioral Therapy of San Diego | Psychologist | 9666 Businesspark Ave, Suite 105, San Diego, CA 92131-1646 | 2016-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205455250 | Vladimir Anoyan | Psychologist | 376 Amherst Dr Apt A, Burbank, CA 91504-4220 | 2020-04-09 |
| 1235770181 | The Lotus Collaborative, Inc., A Psychology Clinic | Psychologist | 611 Mission St, Santa Cruz, CA 95060-3612 | 2019-10-02 |
| 1841845716 | Jonathan Pappas Marriage Family Therapy Inc. | Psychologist | 100 E Thousand Oaks Blvd Ste 326, Thousand Oaks, CA 91360-5713 | 2019-08-07 |
| 1710547690 | The Institute for Professional Parenting (tipp) | Psychologist | 15650 Devonshire Street, Suite 210-212, Granada Hills, CA 91344 | 2019-06-13 |
| 1528574019 | Jori Adler Marriage & Family Therapy Prof. Corp. | Psychologist | 3846 Lyceum Ave, Los Angeles, CA 90066-4125 | 2017-12-19 |
| 1609396472 | Rosanne Miranda | Psychologist | 3500 Barranca Pkwy Ste 305, Irvine, CA 92606-8232 | 2017-06-22 |
| 1972055655 | Richard Linares | Psychologist | 270 W 5th St, Oxnard, CA 93030-7107 | 2016-10-28 |
| 1912397787 | Operation:i.v.,inc | Psychologist | 1000 Town Center Dr Ste 300, Oxnard, CA 93036-1117 | 2015-01-30 |
| 1427486133 | Apex Recovery and Wellness, A Professional Corp. | Psychologist | 36 Quail Ct Ste 100, Walnut Creek, CA 94596-5514 | 2013-10-16 |
| 1154768307 | Redwood Psychology Center, Inc. | Psychologist | 709 Davis St, Santa Rosa, CA 95401-4767 | 2013-05-29 |
| Find all providers with the same taxonomy | ||||
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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.