Leonida Mata Hyman
Technician (Attendant Care Provider)

Address: 6103 Potomac St, San Diego, CA 92139-1730
Phone: 6198028879

Leonida Mata Hyman (NPI# 1598385502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1598385502
Entity Type Individual
Full Name Leonida Mata Hyman
Gender Female
Practice Address 6103 Potomac St
San Diego
CA 92139-1730
Practice Telephone 6198028879
Mailing Address 6103 Potomac St
San Diego
CA 92139-1730
Mailing Telephone 6198028879
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-04-20
Last Update Date 2020-04-20

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 3747A0650X Technician · Attendant Care Provider Nursing Service Related Providers

Other Provider Identifier

State Identifier Issuer Type Code

Taxonomy Information

Taxonomy Code 3747A0650X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Attendant Care Provider

Taxonomy Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Notes: [7/1/2003: new]

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1508409772 Matthew Loran Grile Technician 1325 Pacific Hwy Unit 3501, San Diego, CA 92101-2600 2019-10-21
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1518518018 Carolyn Frances White Technician 4288 Arguello St, San Diego, CA 92103-1506 2019-09-25
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Office Location

Street Address 6103 POTOMAC ST
State CA
Zip Code 92139-1730

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831621689 Paige Tetreau Prevention Professional 2367 Morningside St, San Diego, CA 92139 2017-03-31
1881030310 Brandon Christopher Jackson Military Health Care Provider 6810 Camphor Ln, San Diego, CA 92139 2013-05-10
1720316532 Jacobi Medical Center General Acute Care Hospital 6861 Potomac Street, 57, San Diego, CA 92139 2009-12-07
1083862296 Jennie C Bilbes Registered Nurse 6860 Bear Rier Row, Unit #1, San Diego, CA 92139 2008-08-29
1104033018 Shanon Star Murillo Internal Medicine 2401 Reo Drive, San Diego, CA 92139 2007-05-17
1851378236 Iyabo O Daramola Internal Medicine 2401 Reo Dr, San Diego, CA 92139 2005-12-28
1770180648 Darius Lee Sean Woods Military Health Care Provider 6033 Sandy Shore Ct, San Diego, CA 92139-1014 2020-10-05
1134580913 Emilio Casenave Military Health Care Provider 6031 Sandy Shore Ct, San Diego, CA 92139-1014 2016-03-08
1689934879 Neil Allen Regero Nucup Military Health Care Provider 1802 Rocky Shore Rd, San Diego, CA 92139-1017 2012-05-21
1568855880 Jameson Basa Military Health Care Provider 1976 Sky Harbor Rd, San Diego, CA 92139-1023 2015-03-11
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Zip Code 92139

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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.