KARLI MACK (NPI# 1992358709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992358709 |
| Entity Type | Individual |
| Full Name | KARLI MACK |
| Practice Address |
3575 Pershing Ave San Diego CA 92104 |
| Mailing Address |
3575 Pershing Ave San Diego CA 92104-3413 |
| Practice Telephone | 6192944526 |
| Mailing Telephone | 6192944526 |
| Enumeration Date | 2019-07-20 |
| Last Update Date | 2019-11-20 |
| NPI Deactivation Date | 07/20/2019 |
| NPI Reactivation Date | 2019-11-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
3575 PERSHING AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871772830 | Carlos Bp Mccray | Counselor | 3575 Pershing Ave, San Diego, CA 92104-3413 | 2007-10-26 |
| 1598363749 | Laurel Toy | Counselor | 3575 Pershing Ave, San Diego, CA 92104-3413 | 2020-10-10 |
| 1265066336 | Cynthia P Flores | Counselor | 3575 Pershing Ave, San Diego, CA 92104-3413 | 2020-02-27 |
| 1548894512 | Raymond Ritch | Counselor | 3575 Pershing Ave, San Diego, CA 92104-3413 | 2020-02-27 |
| 1376187542 | Melissa Carol Gonzalez | Counselor | 3575 Pershing Ave, San Diego, CA 92104-3413 | 2019-10-31 |
| 1417598137 | Kathy Malles-overcast | Counselor | 3575 Pershing Ave, San Diego, CA 92104-3413 | 2019-10-03 |
| 1508417320 | Ashley Orozco | Counselor | 3575 Pershing Ave, San Diego, CA 92104-3413 | 2019-09-23 |
| 1871144964 | Wendy Regina Johnson | Counselor | 3575 Pershing Ave, San Diego, CA 92104-3413 | 2019-09-20 |
| 1568013654 | Libia Bustos | Counselor | 3575 Pershing Ave, San Diego, CA 92104-3413 | 2019-09-20 |
| 1841841954 | Diane Luna | Counselor | 3575 Pershing Ave, San Diego, CA 92104-3413 | 2019-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750933610 | Hinderberger Dental Corporation | Dentist | 2050 El Cajon Boulevard, San Diego, CA 92104 | 2019-07-11 |
| 1912487265 | Graham Ashton Harris | Dentist | 2310 Craven Street, Bldg 3230, Fpo, AA 92104 | 2018-08-16 |
| 1700393485 | Christian Jacot | Occupational Therapy Assistant | 3128 Nile Street, San Diego, CA 92104 | 2018-01-04 |
| 1316452931 | Enrico Resurreccion Santos | Dental Hygienist | 2310 Craven St. Bldg. 3230, San Diego, CA 92104 | 2017-12-05 |
| 1164940789 | Robert Brian Damone | Acupuncturist | 3370 29th Street, San Diego, CA 92104 | 2017-09-04 |
| 1780100636 | Nicole Palacios | Counselor | 4170 Texas Street, Apt 1, San Diego, CA 92104 | 2017-08-22 |
| 1063938587 | Indie C Oliver Landrum | Case Manager/Care Coordinator | 2220 Broadway, San Diego, CA 92104 | 2017-08-16 |
| 1669829008 | Krystah Lynn Smith | Doula | 3370 Cherokee Ave, Unit 43, San Diego, CA 92104 | 2016-05-16 |
| 1063871853 | Holly Nicole Hinderberger | Dentist | 2050 El Cajon Blvd, San Diego, CA 92104 | 2016-02-22 |
| 1316336258 | Jorge E Talavera | Military Health Care Provider | 3875 Florida St Apt 2, San Diego, CA 92104 | 2015-01-15 |
| Find all providers in zip 92104 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910901 | Eduardo Alberto Perez | Counselor | 8829 Dewsbury Ave, San Diego, CA 92126-2428 | 2020-10-21 |
| 1477166734 | Laura Aida Andrade | Counselor | 4125 Wabash Ave, San Diego, CA 92104-2124 | 2020-08-26 |
| 1679113096 | David Salvador Avalos | Counselor | 3642 Rosa Linda St, San Diego, CA 92154-3653 | 2020-01-14 |
| 1023651692 | Robert Joseph Kassel | Counselor | 6551 Seaman St, San Diego, CA 92120-2629 | 2019-10-25 |
| 1609437979 | Pamela Lynette Hill | Counselor | 3960 W Point Loma Blvd, San Diego, CA 92110-5643 | 2019-06-26 |
| 1154989838 | Victoria Philips | Counselor | 4055 58th St Apt 10, San Diego, CA 92115-6209 | 2019-05-29 |
| 1740847375 | Jessica Cristina Williams | Counselor | 1775 Elm Ave, San Diego, CA 92154-1104 | 2019-05-20 |
| 1659934164 | Virginia Denise Mcswain | Counselor | 220 Euclid Ave Ste 200, San Diego, CA 92114-3644 | 2019-04-19 |
| 1386107324 | Connie Padera | Counselor | 3148 Midway Dr # 113, San Diego, CA 92110-4539 | 2019-04-08 |
| 1154891067 | Vincent Garside | Counselor | 2516 A Sreet, San Diego, CA 92102-9210 | 2018-12-04 |
| Find all providers in SAN DIEGO | ||||
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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.