KOODRUT PANESAR
Counselor (Mental Health)

Address: 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550

KOODRUT PANESAR (NPI# 1285229666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285229666
Entity Type Individual
Full Name KOODRUT PANESAR
Gender Female
Credential B.S.
Practice Address 995 Gateway Center Way Ste 300
San Diego
CA 92102-4550
Practice Telephone 6193982156
Mailing Address 995 Gateway Center Way Ste 300
San Diego
CA 92102-4550
Certification Date 2021-03-07
Enumeration Date 2021-03-07
Last Update Date 2021-03-07
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 995 GATEWAY CENTER WAY STE 300
City SAN DIEGO
State CA
Zip Code 92102-4550

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003373713 Robert William Black Counselor 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 2019-02-28
1639756398 Kourtney Marie Cox Licensed Vocational Nurse 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 2021-03-26
1871188870 Christopher Armstrong Cather Peer Specialist 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 2021-03-02
1558956698 Breonte Riddlesprigger Case Manager/Care Coordinator 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 2021-03-01
1801485370 Courtney Michelle Roebuck Peer Specialist 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 2021-01-11
1962099325 James Anthony Hutchings Counselor · Addiction (Substance Use Disorder) 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 2020-12-30
1104413855 Jessica Villalobos Student in an Organized Health Care Education/Training Program 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 2020-12-29
1902404213 Amber Vazquez Behavior Technician 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 2020-10-09
1245843390 Claude Antonio Cintron Counselor · Mental Health 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 2020-08-28
1174149736 Heidi Anthony Counselor · Mental Health 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 2020-06-19
Find all providers in the same address

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093780017 Dva Renal Healthcare Inc · San Diego South Dialysis Clinic/Center · End-Stage Renal Disease (ESRD) Treatment 995 Gateway Center Way, Ste 101, San Diego, CA 92102-4550 2006-02-22

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1437766698 Daniela Tablas Behavioral Analyst 303 47th St Spc D-22, San Diego, CA 92102 2020-09-30
1194372748 Rosa L Wilson Counselor · Addiction (Substance Use Disorder) 2970 Market Street, San Diego, CA 92102 2019-08-19
1649745712 Juliet Lao Kurek Pharmacist 2121 Imperial Avenue, San Diego, CA 92102 2018-10-04
1851887020 Monique Joseph Counselor · Addiction (Substance Use Disorder) 2410 E. Street, San Diego, CA 92102 2018-07-10
1043718885 Jessica Quinn Counselor · Addiction (Substance Use Disorder) 2410 E St, San Diego, CA 92102 2018-01-26
1184166316 Elise Blanton-Hubbard Counselor · Mental Health 1850 Dale St, San Diego, CA 92102 2016-11-04
1518416007 Kyle Hayes Physical Therapy Assistant 1201 34th Street, San Diego, CA 92102 2016-09-26
1699221416 Kari Judith Medina Student in an Organized Health Care Education/Training Program 1199 34th Street Apt 11, San Diego, CA 92102 2016-08-31
1134508179 Jonathan Waters Military Health Care Provider · Independent Duty Corpsman 1233 22nd Street, Unit 8, San Diego, CA 92102 2015-05-22
1871989913 Abraham Greenberg Pediatrics 15 Balfour Street, Jerusalem, ISRAEL 92102 2015-04-15
Find all providers in zip 92102

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154900579 Rheanne Ulanday 1202 Morena Blvd Ste 100, San Diego, CA 92110-3842 2021-04-04
1174100994 Alexander Dannin 7770 Westside Dr Apt 303, San Diego, CA 92108-1214 2021-03-26
1023695186 Maria Gonzales 8825 Aero Dr Ste 110, San Diego, CA 92123-2268 2021-03-25
1861078511 Frederick Wahlig 13914 Cayucos Ct, San Diego, CA 92129-4424 2021-03-23
1144814252 Maria C Marcano 2912 Ingelow St Apt 1, San Diego, CA 92106-2366 2021-03-01
1205420106 Dana Jacobs 5998 Alcala Park Rm 129, San Diego, CA 92110-8001 2021-02-22
1073106035 Alexis Jeannette Isaac 3430 Ray St, San Diego, CA 92104-4233 2021-02-19
1265025894 Bianca Noelle Martinez 3962 Hamilton St Apt 22, San Diego, CA 92104-2835 2021-02-15
1033702741 Cassandra Marie Fisher · Casey Marie Fisher 2331 Poinsettia Dr, San Diego, CA 92106-1224 2021-02-12
1801488747 Liliana Leyva 3125 L St, San Diego, CA 92102-4321 2021-02-10
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92102

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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.

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