COLTON ANTHONY WEGRZYN
Student in an Organized Health Care Education/Training Program

Address: 34101 Fareholt Ave Building 14, San Diego, CA 92134-0001

COLTON ANTHONY WEGRZYN (NPI# 1336730019) 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) 1336730019
Entity Type Individual
Full Name COLTON ANTHONY WEGRZYN
Gender Male
Credential IDC
Practice Address 34101 Fareholt Ave Building 14
San Diego
CA 92134-0001
Practice Telephone 2243084478
Mailing Address 4880 Wind Surf Way Unit 391
San Diego
CA 92154-8896
Mailing Telephone 2243084478
Certification Date 2021-01-26
Enumeration Date 2021-01-27
Last Update Date 2021-01-27
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 34101 FAREHOLT AVE BUILDING 14
City SAN DIEGO
State CA
Zip Code 92134-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831780543 Warren Daichi Hickman Student in an Organized Health Care Education/Training Program 34101 Fareholt Ave Building 14, San Diego, CA 92134-0001 2021-01-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750972410 Laquisha Byrd IIi Student in an Organized Health Care Education/Training Program 34101 Fareholt Ave 92134 Building 14, San Diego, CA 92134-0001 2021-01-26
1063002046 Lakece Shirrell Holmes Student in an Organized Health Care Education/Training Program Swmi Bldg 14, 34101 Farenholt Ave, San Diego, CA 92134-0001 2021-01-22
1720684319 Brandon Young Military Health Care Provider · Independent Duty Corpsman 3401 Farenholt Ave Building 14, San Diego, CA 92134-0001 2020-12-08
1184235871 Jaden Sandi Military Health Care Provider · Independent Duty Corpsman Swmi Sfidc Bldg 14 34101 Farenholt Ave, San Diego, CA 92134-0001 2020-08-14
1477198638 Terrence R Hamilton Physician Assistant 4101 Farenholt Av Bldg 14, San Diego, CA 92134-0001 2019-11-12
1245873900 Travis Allen Mosley Military Health Care Provider · Independent Duty Corpsman 43101 Farenholt Ave, San Diego, CA 92134-0001 2019-10-24
1508417510 Matthew Hart Military Health Care Provider · Independent Duty Corpsman 3400 Bob Wilson Drive, San Diego, CA 92134-0001 2019-09-23
1083275762 Tyler Bradshaw Thompson Military Health Care Provider 34, Farenholt Ave, San Diego, CA 92134-0001 2019-06-24
1558924274 Nathan Alley-Byrd Military Health Care Provider Navy Medical Center San Diego 34800 Bob Wilson Drive, San Diego, CA 92134-0001 2019-04-18
1952864944 Ofelia Offendel Physician Assistant 4101 Farenholt Ave Bldg 14, San Diego, CA 92134-0001 2019-04-08
Find all providers in zip 92134-0001

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
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
1255870333 Dosh Page Physician Assistant Swmi Farenholt Avenue, Building 14, San Diego, CA 92134 2017-02-22
1417328063 Noem Clay Gallego Military Health Care Provider · Independent Duty Corpsman 34101 Building 14, Farenholt Avenue, San Diego, CA 92134 2015-10-08
1972999183 Justin Paul Lachney Military Health Care Provider · Independent Duty Corpsman 34101 Farenholt Avenue, San Diego, CA 92134 2015-04-14
1174963532 Ryan Anders Crane Otolaryngology Department of Otolaryngology - Nmc San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134 2013-07-01
1447591268 Amy B. Cornell Student in an Organized Health Care Education/Training Program 34800 Bob Wilson Drive, San Diego, Ca, Apo, AA 92134 2013-03-04
1841562956 Christopher Patrick Androski Jr. Emergency Medical Technician, Basic Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134 2012-02-04
1164717740 Jason James Weiner Internal Medicine · Rheumatology Dept of Internal Medicine, Division of Rheumatology, 34800 Bob Wilson Drive, San Diego, CA 92134 2011-06-13
1225320237 Kimberly Ann Thompson Student in an Organized Health Care Education/Training Program Navy Medical Center San Diego Gme Department, 34800 Bob Wilson Dr., San Diego, CA 92134 2011-05-09
Find all providers in zip 92134

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750972410 Laquisha Byrd IIi 34101 Fareholt Ave 92134 Building 14, San Diego, CA 92134-0001 2021-01-26
1063002046 Lakece Shirrell Holmes Swmi Bldg 14, 34101 Farenholt Ave, San Diego, CA 92134-0001 2021-01-22
1285223388 Dane Hendrix Vega 3539 College Ave # Ca92115, San Diego, CA 92115-7032 2021-01-13
1215533211 Thomas Matthew Murphy · Thomas Matthew Murphy 10317 Holder Way, San Diego, CA 92124-2512 2020-12-07
1710583752 Lynn My Truong 18256 Verano Dr, San Diego, CA 92128-1262 2020-12-06
1295338143 Chelsea Choi 18761 Caminito Pasadero Unit 120, San Diego, CA 92128-6143 2020-11-20
1033716204 Julianne A. Demery Naval Base San Diego 2450 Craven Street #3300, San Diego, CA 92136-0001 2020-10-01
1649885732 Leanne Evalyn Morancie 4231 Balboa Ave # 1245, San Diego, CA 92117-5504 2020-09-15
1689288136 Melissa Eileen Fitzgibbon 5114 63rd St, San Diego, CA 92115-1407 2020-09-02
1316550510 Jessica Elizabeth Knight 6383 Alvarado Ct, 310, San Diego, CA 92120 2020-08-26
Find all providers in SAN DIEGO

Competitor

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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.