ALICE VICTORIA KISTENEFF
Military Health Care Provider

Address: Naval Medical Center San Diego 34800 Bob Wilson Drive, San Diego, CA 92134-0001

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 171000000X Military Health Care Provider Other Service Providers

Office Location

Street Address NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DRIVE
City SAN DIEGO
State CA
Zip Code 92134-0001

Providers in the same location

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

Providers in the same zip code

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
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Providers in the same zip code prefix

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
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Taxonomy Information

Taxonomy Code 171000000X
Grouping Other Service Providers
Classification Military Health Care Provider

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

Search similar providers

City SAN DIEGO
Zip Code 92134

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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.