| |
380 Stevens Ave, Suite 314, Solana Beach, CA 92075-2063 | |
(858) 755-5200 | |
(858) 755-5201 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 380 Stevens Ave, Solana Beach, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083038764 | NPI | - | NPPES |
Provider Name | Darren Mallinson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1871607283 PECOS PAC ID: 6103712070 Enrollment ID: I20040226000574 |
Provider Name | Erin Tooms |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1942479076 PECOS PAC ID: 1052474285 Enrollment ID: I20090113000898 |
Provider Name | Victor D Aguilar |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669534426 PECOS PAC ID: 6204029499 Enrollment ID: I20101020000664 |
Provider Name | David Timothy Bailey |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174831929 PECOS PAC ID: 0345427803 Enrollment ID: I20110609000275 |
Provider Name | Navid Hannanvash |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1811271240 PECOS PAC ID: 4082887518 Enrollment ID: I20111028000516 |
Provider Name | Elizabeth A Treeheart |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619269842 PECOS PAC ID: 2264682848 Enrollment ID: I20121016000470 |
Provider Name | Therese A Ruffin |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1043675556 PECOS PAC ID: 4082995279 Enrollment ID: I20161230000489 |
Provider Name | Alex Kelso |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1396198107 PECOS PAC ID: 2567743677 Enrollment ID: I20170104001145 |
Provider Name | Krystle J Ellington |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1679010151 PECOS PAC ID: 0042593055 Enrollment ID: I20170216000880 |
Provider Name | Michael James Hollstegge |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1760935423 PECOS PAC ID: 3476824442 Enrollment ID: I20170809002518 |
Provider Name | Tamara Lila Trily |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124534151 PECOS PAC ID: 6901169937 Enrollment ID: I20180404001684 |
Provider Name | Jonathan R Cabral |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1780184416 PECOS PAC ID: 1254694359 Enrollment ID: I20180423002317 |
Provider Name | Martin Nguyen |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1417455080 PECOS PAC ID: 4183989965 Enrollment ID: I20180525001916 |
Provider Name | Paul K Leung |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1578035663 PECOS PAC ID: 4880932755 Enrollment ID: I20190219002402 |
Provider Name | Paul Roh |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174088140 PECOS PAC ID: 3274873575 Enrollment ID: I20190325000828 |
Provider Name | Jessica M Slette |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1821556994 PECOS PAC ID: 5890036024 Enrollment ID: I20190416001244 |
Provider Name | Jayme L Cargnoni |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1164079109 PECOS PAC ID: 3577894880 Enrollment ID: I20191016003481 |
Provider Name | Luke Mathison |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1811442064 PECOS PAC ID: 2860788486 Enrollment ID: I20191114001402 |
Provider Name | Michael Mitri |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1437796356 PECOS PAC ID: 8921435751 Enrollment ID: I20200220001368 |
Provider Name | David Carmelo De Leon |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013575984 PECOS PAC ID: 1557699782 Enrollment ID: I20200413001623 |
Provider Name | Shaugn Mallari |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1295203339 PECOS PAC ID: 9133464043 Enrollment ID: I20200429002463 |
Provider Name | Erin Bennett |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1417589375 PECOS PAC ID: 9830520618 Enrollment ID: I20200511002950 |
Provider Name | Riley Ford Kerr |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144855917 PECOS PAC ID: 6507289352 Enrollment ID: I20200713000717 |
Provider Name | Mariah King |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174168694 PECOS PAC ID: 0648697136 Enrollment ID: I20200828001646 |
Provider Name | Dang A Tran |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558913392 PECOS PAC ID: 1951728914 Enrollment ID: I20200904001630 |
Provider Name | Deniz High |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1720605389 PECOS PAC ID: 9638597420 Enrollment ID: I20200910001378 |
Provider Name | Ross Lason Sugiyama |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013529288 PECOS PAC ID: 7315365632 Enrollment ID: I20200917001516 |
Provider Name | Michael Vuong |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407495435 PECOS PAC ID: 4183059983 Enrollment ID: I20201014003667 |
Provider Name | Tritia Herrera |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124684782 PECOS PAC ID: 4183044613 Enrollment ID: I20201021001846 |
Provider Name | Jessica Cruz Aranas |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1447853338 PECOS PAC ID: 0244641009 Enrollment ID: I20201130001417 |
Provider Name | Katherine Emily Gilliland |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1023611704 PECOS PAC ID: 6709297427 Enrollment ID: I20201201000740 |
Provider Name | Gervin Prado |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194327882 PECOS PAC ID: 0749692275 Enrollment ID: I20201207002265 |
Provider Name | Zachary Vano |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1750988242 PECOS PAC ID: 4385056266 Enrollment ID: I20201217001581 |
Provider Name | Betty Tran |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194316430 PECOS PAC ID: 9133535321 Enrollment ID: I20210312002309 |
Provider Name | Johnny Nguyen |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962082842 PECOS PAC ID: 3577971068 Enrollment ID: I20210422000358 |
Provider Name | Tiffany Nana Davis |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1427634724 PECOS PAC ID: 7315348968 Enrollment ID: I20210702001030 |
Provider Name | Kyle Daniel Scheller |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285309492 PECOS PAC ID: 6507261120 Enrollment ID: I20210819003798 |
Provider Name | Wei Chung Kuo |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1922773118 PECOS PAC ID: 6002212750 Enrollment ID: I20210907000858 |
Provider Name | Farha Samaan |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1821686551 PECOS PAC ID: 0941608368 Enrollment ID: I20211014002141 |
Provider Name | Mark Tameta |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1902475700 PECOS PAC ID: 5395143788 Enrollment ID: I20211015001545 |
Provider Name | Dana Alexander Hazlett |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1205501160 PECOS PAC ID: 8921496282 Enrollment ID: I20211019003280 |
Provider Name | Nickolas Jon Boyol |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1437737137 PECOS PAC ID: 4688062698 Enrollment ID: I20211025001867 |
Provider Name | Eric Robert Lee |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194391342 PECOS PAC ID: 9436547163 Enrollment ID: I20211028001422 |
Provider Name | Sarahmargaret Mason |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1942871165 PECOS PAC ID: 9032507686 Enrollment ID: I20211101001280 |
Provider Name | Nicholas Abraham Carondo Eckman |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1598429821 PECOS PAC ID: 3678961265 Enrollment ID: I20211101002719 |
Provider Name | Brandon Funk |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1164185583 PECOS PAC ID: 9537557129 Enrollment ID: I20211101002907 |
Provider Name | Jake Hodgens |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1740869668 PECOS PAC ID: 2961891395 Enrollment ID: I20211105000650 |
Provider Name | Heather Ester |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1770151672 PECOS PAC ID: 5597154591 Enrollment ID: I20211112001674 |
Provider Name | Andrew Delehoy |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1093487324 PECOS PAC ID: 1951790849 Enrollment ID: I20211115002771 |
Provider Name | Morgan Manini |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144997909 PECOS PAC ID: 7315336112 Enrollment ID: I20211117000877 |
Provider Name | Mia Mae Manalastas |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1972262541 PECOS PAC ID: 2466843271 Enrollment ID: I20220104002645 |
Provider Name | Lauren Chelsea Sugay |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1689334849 PECOS PAC ID: 3173915436 Enrollment ID: I20220118001044 |
Provider Name | Diego Schoch |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316608102 PECOS PAC ID: 6406248475 Enrollment ID: I20220125001597 |
Provider Name | Isaque Feitosa |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316699093 PECOS PAC ID: 2163815986 Enrollment ID: I20220131000869 |
Provider Name | Alisha Mitchell |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1649923384 PECOS PAC ID: 1557754983 Enrollment ID: I20220208001896 |
Provider Name | Kevin Bender |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1770926271 PECOS PAC ID: 7911148275 Enrollment ID: I20220506000867 |
Provider Name | Lena Parker |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1215676523 PECOS PAC ID: 8426439944 Enrollment ID: I20220714003783 |
Provider Name | Ciara Hoernke |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669103289 PECOS PAC ID: 7911388004 Enrollment ID: I20220720003547 |
Provider Name | Marcos Cisca |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235867805 PECOS PAC ID: 0244614139 Enrollment ID: I20220825003564 |
Provider Name | Alyssa Nicole Burkitt |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1528796133 PECOS PAC ID: 4082098827 Enrollment ID: I20220829002138 |
Provider Name | Amy Goto |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235878570 PECOS PAC ID: 6002290780 Enrollment ID: I20220830000090 |
Provider Name | Jamil Kassam |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124746599 PECOS PAC ID: 8921482043 Enrollment ID: I20220908001407 |
Provider Name | Avonlea Brown |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1093436420 PECOS PAC ID: 9931585411 Enrollment ID: I20221006002003 |
Provider Name | Tyler Dilorenzo |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1972225845 PECOS PAC ID: 2860861754 Enrollment ID: I20221215002806 |
Provider Name | Natasha Shamloufard |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1104542745 PECOS PAC ID: 6709255409 Enrollment ID: I20221219001582 |
Provider Name | Rose Huizenga |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639891500 PECOS PAC ID: 3577933761 Enrollment ID: I20230104001920 |
Provider Name | Peter Thanh Huynh |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982314571 PECOS PAC ID: 2668842659 Enrollment ID: I20230109002063 |
Provider Name | Gina Gerber |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1255049912 PECOS PAC ID: 1658741525 Enrollment ID: I20230110003234 |
Provider Name | Natalie Morlock |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1609589670 PECOS PAC ID: 7719358050 Enrollment ID: I20230124000663 |
Provider Name | Noora Lynn Cholagh |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1033823174 PECOS PAC ID: 6901277128 Enrollment ID: I20230126002721 |
Provider Name | Zachary Shampain |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316545684 PECOS PAC ID: 7719397017 Enrollment ID: I20230131001704 |
Provider Name | Michael Spence |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639864804 PECOS PAC ID: 7911372693 Enrollment ID: I20230411001771 |
Provider Name | Morgan Bethanne Perrin |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1497418560 PECOS PAC ID: 0143618991 Enrollment ID: I20230503003391 |
Provider Name | Cynthia Lay |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1952092884 PECOS PAC ID: 0345602082 Enrollment ID: I20230814000791 |
Provider Name | Emily Jorgensen |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235811704 PECOS PAC ID: 5991159295 Enrollment ID: I20230920001601 |
Provider Name | Autumn Siverling |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194501189 PECOS PAC ID: 9931554425 Enrollment ID: I20231019000105 |
Provider Name | Amanda Davenport |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1366226474 PECOS PAC ID: 3678920790 Enrollment ID: I20231111000636 |
Provider Name | Lindsey Glasheen |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669154365 PECOS PAC ID: 2668829797 Enrollment ID: I20231113000382 |
Provider Name | Michelle Gorski |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144002312 PECOS PAC ID: 7416304290 Enrollment ID: I20231116000334 |
Provider Name | Callaway Kennedy |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639941479 PECOS PAC ID: 3971951336 Enrollment ID: I20231122002358 |
Provider Name | Summer Stewart |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1457133621 PECOS PAC ID: 1153779384 Enrollment ID: I20231129001704 |
Provider Name | Maddison Simmons |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1386419711 PECOS PAC ID: 4789032608 Enrollment ID: I20231201002519 |
Provider Name | Jordan Boehning |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1780461707 PECOS PAC ID: 1658729538 Enrollment ID: I20231204000904 |
Provider Name | Tyler Isa |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174230916 PECOS PAC ID: 2466803226 Enrollment ID: I20240105003861 |
Provider Name | Aldin Jimmy Baal Cerillo |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1972218485 PECOS PAC ID: 2264875384 Enrollment ID: I20240206002090 |
Provider Name | Nicole Crane |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1023879269 PECOS PAC ID: 4981047412 Enrollment ID: I20240212001913 |
Provider Name | Michael Haskins |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1952172900 PECOS PAC ID: 0941644314 Enrollment ID: I20240214001446 |
Provider Name | Timothy Pollard |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538938311 PECOS PAC ID: 2769826817 Enrollment ID: I20240216003360 |
Provider Name | Kenzie Hossam Saleh |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1598475378 PECOS PAC ID: 6507201027 Enrollment ID: I20240223002973 |
Provider Name | Andrew Mcwilliam |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1942063664 PECOS PAC ID: 0547606808 Enrollment ID: I20240308000866 |
Provider Name | Michael Moroney |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1508633835 PECOS PAC ID: 4688010432 Enrollment ID: I20240314003170 |
Provider Name | Emily Morley |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1790467579 PECOS PAC ID: 7517407786 Enrollment ID: I20240913003790 |
Provider Name | Gavin Kam |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1033961784 PECOS PAC ID: 2466993050 Enrollment ID: I20240923003582 |
Provider Name | Tiffany Tran |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1336976067 PECOS PAC ID: 9234660408 Enrollment ID: I20240930002314 |
Provider Name | Ashley Brunswick |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568281491 PECOS PAC ID: 7315479060 Enrollment ID: I20241018001758 |
Mailing Address | Practice Location Address |
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380 Stevens Ave, Suite 314, Solana Beach, CA 92075-2063 Ph: (858) 755-5200 | 380 Stevens Ave, Suite 314, Solana Beach, CA 92075-2063 Ph: (858) 755-5200 |