| Paxina Health | |
|
169 Saxony Rd Ste 205 Encinitas CA 92024-6780 | |
| (619) 566-1002 | |
| (619) 566-1003 |
| Full Name | Paxina Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 169 Saxony Rd Ste 205, Encinitas, California |
| Authorized Official Name and Position | Todd B Young (OWNER) |
| Authorized Official Contact | 6195661002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paxina Health Po Box 1770 La Mesa CA 91944-1770 Ph: (619) 566-1002 | Paxina Health 169 Saxony Rd Ste 205 Encinitas CA 92024-6780 Ph: (619) 566-1002 |
| NPI Number | 1295491686 |
|---|---|
| Provider Enumeration Date | 11/10/2021 |
| Last Update Date | 11/10/2021 |
| Certification Date | 11/10/2021 |
| Medicare PECOS PAC ID | 7113312190 |
|---|---|
| Medicare Enrollment ID | O20220310001399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295491686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Nicodemus Marzette Watts |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689607749 PECOS PAC ID: 7315945284 Enrollment ID: I20061201000377 |
| Provider Name | Todd B Young |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275672206 PECOS PAC ID: 3577739549 Enrollment ID: I20111222000505 |
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