Jennifer Marie Mitchell

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1124 Bay Blvd Ste D
Chula Vista, CA 91911-7155

Phone

(619) 420-3620

Fax

(619) 420-8722

NPI assigned

Apr 5, 2012

Last updated

Apr 5, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1134485931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 BAY BLVD STE D",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919117155",
            "telephone_number": "619-420-3620",
            "fax_number": "619-420-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 BAY BLVD STE D",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919117155",
            "telephone_number": "619-420-3620",
            "fax_number": "619-420-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-05",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gaurav Mishra, MD
• Cristina Misra, MD
• Disha Ashok Mistri, NP
• Chetan Amritlal Mistry, MD
• Angela Maria Mitchell, RN
• Kathleen Mitchell, FNP
• Monserate Mitchell, LVN
• Jacalyn Mizer, RPH
• MKG Medical Network Assistance LLC
• Mobile Cone Beam CT Scan Inc (Mobile Cone Beam Ct Scans)

• Student in an Organized Health Care Education/Training Program in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.