ALICE VICTORIA KISTENEFF (NPI# 1316532237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316532237 |
Entity Type | Individual |
Full Name | ALICE VICTORIA KISTENEFF |
Gender | Female |
Credential | MD |
Practice Address | Naval Medical Center San Diego 34800 Bob Wilson Drive San Diego CA 92134-0001 |
Practice Telephone | 6195325761 |
Mailing Address | Naval Medical Center San Diego 34800 Bob Wilson Drive San Diego CA 92134-0001 |
Mailing Telephone | 6195325761 |
Certification Date | 2021-03-03 |
Enumeration Date | 2021-03-03 |
Last Update Date | 2021-03-03 |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|---|
Y | 171000000X | Military Health Care Provider | Other Service Providers |
Street Address | NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DRIVE |
City | SAN DIEGO |
State | CA |
Zip Code | 92134-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154916740 | William Thomas Yokeley Jr. | Military Health Care Provider | Naval Medical Center San Diego 34800 Bob Wilson Drive, San Diego, CA 92134-5000 | 2021-03-04 |
1407441413 | Robert Warshel Snyder | Military Health Care Provider | Naval Medical Center San Diego 34800 Bob Wilson Drive, San Diego, CA 92134-0001 | 2021-03-02 |
1093308462 | Jason T Bellmore | Military Health Care Provider | Naval Medical Center San Diego 34800 Bob Wilson Drive, San Diego, CA 92134-0001 | 2021-02-17 |
1912590670 | Duncan Carlton | Military Health Care Provider | Naval Medical Center San Diego 34800 Bob Wilson Drive, San Diego, CA 92134-0001 | 2021-02-14 |
1114537081 | Catherine Jane Mchale | Student in an Organized Health Care Education/Training Program | Naval Medical Center San Diego 34800 Bob Wilson Drive, San Diego, CA 92134-5000 | 2020-08-05 |
1134737091 | Nicole Lynn Elia | Student in an Organized Health Care Education/Training Program | Naval Medical Center San Diego 34800 Bob Wilson Drive, San Diego, CA 92134-0001 | 2020-07-16 |
1427671668 | John Frederick Lupfer | Student in an Organized Health Care Education/Training Program | Naval Medical Center San Diego 34800 Bob Wilson Drive, San Diego, CA 92134-0001 | 2020-05-21 |
1760002232 | Justin E Gallagher | Military Health Care Provider | Naval Medical Center San Diego 34800 Bob Wilson Drive, San Diego, CA 92134-5000 | 2020-04-24 |
1114547098 | Frank Joseph Migliarese Jr. | Military Health Care Provider | Naval Medical Center San Diego 34800 Bob Wilson Drive, San Diego, CA 92134-5000 | 2020-04-21 |
1033748959 | Lydia Cam Truong | Military Health Care Provider | Naval Medical Center San Diego 34800 Bob Wilson Drive, San Diego, CA 92134-0001 | 2020-04-02 |
Find all providers in the same address |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710572276 | Nicole Lee Hadler | Military Health Care Provider | Naval Medical Center San Diego 34800 Bob Wilson Dr, San Diego, CA 92134-0001 | 2021-03-06 |
1679168488 | Kristine Marie Kocjan | Military Health Care Provider | 384oo Bob Wilson, San Diego, CA 92134-0001 | 2021-03-03 |
1114512944 | Laura Samantha Kraemer | Military Health Care Provider | Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134-0001 | 2021-03-03 |
1386239259 | Jean Raymond Gagne | Military Health Care Provider | 38400 Bob Wilson Dr, San Diego, CA 92134-0001 | 2021-03-03 |
1598350480 | Austin Daniel Fritza | Military Health Care Provider | Naval Medical Center San Diego 34800 Bob Wilson Dr, San Diego, CA 92134-0001 | 2021-03-03 |
1689269524 | Zachary Livezey Wright | Military Health Care Provider | 38400 Bob Wilson Dr, San Diego, CA 92134-0001 | 2021-03-03 |
1699360511 | Ashley Michele Maitland | Military Health Care Provider | 38400 Bob Wilson Dr, San Diego, CA 92134-0001 | 2021-03-03 |
1922693761 | Seth Harvey | Military Health Care Provider | Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134-0001 | 2021-03-03 |
1982299806 | Matthew Masur | Military Health Care Provider | Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134-0001 | 2021-03-03 |
1144815051 | Joseph Lee | Military Health Care Provider | 38400 Bob Wilson Dr, San Diego, CA 92134-0001 | 2021-03-02 |
Find all providers in zip 92134-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801406731 | Calvin Tyler Skinner | Student in an Organized Health Care Education/Training Program | 34800 Bob Wilson Drive, Building 2, Ground Floor/Quality Management Suite, San Diego, CA 92134 | 2020-08-05 |
1477178457 | Joseph Hunter Sampson | Military Health Care Provider · Independent Duty Corpsman | 34101 Farenholt Ave #14, San Diego, CA 92134 | 2020-06-15 |
1508495201 | Benjamin Michael Taylor | Military Health Care Provider | Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2020-04-04 |
1013566215 | Christopher Javier Camacho | Military Health Care Provider · Independent Duty Corpsman | 34800 Bob Wilson Dr, San Diego, CA 92134 | 2019-09-10 |
1790337681 | Robert David Bills Iv | Military Health Care Provider · Independent Duty Corpsman | 34800 Bob Wilson Drive, Fpo, AP 92134 | 2019-07-11 |
1841851631 | Kenny Mendoza | Military Health Care Provider · Independent Duty Corpsman | 34800 Bob Wilson Dr, San Diego, CA 92134 | 2019-06-24 |
1669039798 | Coy Dylan Parker | Military Health Care Provider · Independent Duty Corpsman | Surface Warfare Medical Institute, 34101 Farenholt Ave, San Diego, CA 92134 | 2019-05-23 |
1407411655 | Reinaldo Eugenio Colon Morillo | Military Health Care Provider | 34800 Bob Wilson Drive, San Diego, CA 92134 | 2019-05-02 |
1043776149 | Nicole Freeborn | Military Health Care Provider · Independent Duty Corpsman | 34800 Bob Wilson Dr, Fpo, AP 92134 | 2019-02-13 |
1245714476 | Rebekah Elaine Glennnorris | Social Worker | 34800 Bob Wilson Drive, Bldg 1, Floor 2, Suite 208, San Diego, CA 92134 | 2018-09-24 |
Find all providers in zip 92134 |
Taxonomy Code | 171000000X |
Grouping | Other Service Providers |
Classification | Military Health Care Provider |
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
Notes: [7/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295320653 | Naran Spencer Lodhia | 38400 Bob Wilson Dr, San Diego, CA 92134-5000 | 2021-03-07 | |
1487249850 | Kristin Bala | Naval Medical Center San Diego 34800 Bob Wilson Dr, San Diego, CA 92134-5000 | 2021-03-07 | |
1366037814 | Donel Starr Kelly | Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134-5000 | 2021-03-06 | |
1487249926 | Bradley James Ulis | Naval Medical Center San Diego 34800 Bob Wilson Dr, San Diego, CA 92134-5000 | 2021-03-06 | |
1710572276 | Nicole Lee Hadler | Naval Medical Center San Diego 34800 Bob Wilson Dr, San Diego, CA 92134-0001 | 2021-03-06 | |
1003401662 | Nathaniel Whittington Foster | 38400 Bob Wilson Dr, San Diego, CA 92134-5000 | 2021-03-05 | |
1154916740 | William Thomas Yokeley Jr. | Naval Medical Center San Diego 34800 Bob Wilson Drive, San Diego, CA 92134-5000 | 2021-03-04 | |
1235724816 | Kasey Garrett | Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134-5000 | 2021-03-04 | |
1245825033 | Stephanie Ha | 38400 Bob Wilson Dr, San Diego, CA 92134-5000 | 2021-03-04 | |
1437744216 | Adam Howell | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2021-03-04 | |
Find all providers in SAN DIEGO |
City | SAN DIEGO |
Zip Code | 92134 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821366428 | Alice Victoria Sowards · Alice Victoria Simpson | Pharmacist | 2400 N Broadway St, Knoxville, TN 37917-4627 | 2011-12-09 |
1144413642 | Alice Victoria Kavalaskia · Alice Victoria Hall | Physical Therapist | 82 Morgan St #2, Candler, NC 28715 | 2007-08-20 |
1972614121 | Victoria Raleigh · Victoria Wiggins | Speech-Language Pathologist | 1415 Alice St, Waycross, GA 31501-4528 | 2006-08-31 |
1720638919 | Victoria Natalie Garcia · Victoria Natalie Medina | Counselor · Professional | 861 Old Alice Rd, Brownsville, TX 78520-8551 | 2019-09-19 |
1164873667 | Victoria Perez | Optometrist | 62 N Cameron St, Alice, TX 78332-4953 | 2016-06-26 |
1982994463 | Alice Rising | Student in an Organized Health Care Education/Training Program | 130 W Victoria St, Gardena, CA 90248-3523 | 2011-04-18 |
1811085541 | Alice Victoria Myers | Occupational Therapist | 850 E Butler Rd, Greenville, SC 29607-5842 | 2006-10-10 |
1639520273 | Alice Victoria Johnson | Nurse Practitioner · Pediatrics | 355 E 88th St, Apt 2d, New York, NY 10128-4904 | 2016-06-24 |
1396003547 | Alice Victoria Henry | Dietitian, Registered | 40 Jh Lagrange, Frederiksted, VI 00840 | 2012-04-25 |
1760516496 | Tiffany Alice Dawson | Marriage & Family Therapist | 901 W Victoria St Ste F&g, Compton, CA 90220-5807 | 2007-03-15 |
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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.