Maria Bernadette Facun (NPI# 1891288197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider Identifier (NPI) | 1891288197 |
Entity Type | Individual |
Full Name | Maria Bernadette Facun |
Credential | NP |
Gender | Female |
Practice Address |
10666 N. Torrey Pines Road N203 La Jolla CA 92037 |
Practice Telephone | 8585548880 |
Practice Fax Number | 8585548065 |
Mailing Address |
10666 N Torrey Pines Rd-203n La Jolla CA 92128-6432 |
Mailing Telephone | 8585548880 |
Mailing Fax Number | 8585548150 |
Sole Proprietor | No, this individual is not a Sole Proprietor |
Enumeration Date | 2018-06-11 |
Last Update Date | 2019-01-24 |
Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
---|---|---|---|---|---|
Yes | 363LP2300X | Nurse Practitioner · Primary Care | Physician Assistants & Advanced Practice Nursing Providers | 95006878 | CA |
NPI | 1891288197 |
PAC ID by PECOS | 3476898768 |
Professional Enrollment ID | I20181213003239 |
Full Name | Maria B Facun |
Organization Legal Name | SCRIPPS HEALTH |
Phone Number | 8585549100 |
Gender | F |
Graduation Year | 2017 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 9234033853 |
Number of Group Practice Members | 1079 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050424 | SCRIPPS GREEN HOSPITAL |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
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1568804326 | Jennifer Mary Byrne | Nurse Practitioner | Uc Health System Moores Cancer Ctr, 3855health Sciences Drive, #0960, La Jolla, CA 92093-0960 | 2013-07-22 |
1366996258 | Leah Joy Askegaard | Nurse Practitioner | 9898 Genesee Ave Fl 1, Amp 130, La Jolla, CA 92037-1205 | 2016-08-08 |
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1962004978 | Andres A Moreno | Nurse Practitioner | 166 3rd Ave Apt 25, Chula Vista, CA 91910-1857 | 2020-11-13 |
1639771926 | Prev1 Health LLC | Nurse Practitioner | 26836 Sea Cove Ln, Valencia, CA 91355-1625 | 2020-11-11 |
1013519685 | Alison Nicole Daugherty | Nurse Practitioner | 2415 High School Ave Ste 800, Concord, CA 94520-1858 | 2020-11-09 |
1710584008 | Venessa Beck | Nurse Practitioner | 903 Cardiff St, San Diego, CA 92114-5019 | 2020-10-08 |
1053918094 | Janel Nicole Sanglerat | Nurse Practitioner | 416 Aviation Blvd, Santa Rosa, CA 95403-1032 | 2020-10-02 |
1790382760 | Christopher Tran | Nurse Practitioner | 11441 Heacock St Ste F, Moreno Valley, CA 92557-7907 | 2020-10-02 |
1487266292 | Mollie Shira Hudson | Nurse Practitioner | 14 Whitmore Pl Apt 15, Oakland, CA 94611-4635 | 2020-08-21 |
1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
Find all providers with the same taxonomy |
Street Address |
10666 N. TORREY PINES ROAD N203 |
City | LA JOLLA |
State | CA |
Zip Code | 92037 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
Find all providers in zip 92037 |
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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.