Mobile Wound Care-San Diego ND

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

54015 Issued in CA

Legal business name

MOBILE WOUND CARE-SAN DIEGO ND

Practice address

1415 Santa Diana Rd
Chula Vista, CA 91913-2745

Phone

(702) 927-3599

NPI assigned

Feb 6, 2017

Organization subpart

No

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

Authorized official

Name

Nhi Dai, PA-CNPI 1093253338

Title

Physician Assistant- Certified

Phone

(702) 927-3599

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nhi Dai, PA

  • Surgical Physician Assistant
  • Las Vegas, NV
  • NPI 1093253338
  NPD (past) Authorized official

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1295273639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 SANTA DIANA RD UNIT 9",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919132745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 SANTA DIANA RD",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919132745",
            "telephone_number": "702-927-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE WOUND CARE-SAN DIEGO ND",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "DAI",
        "authorized_official_first_name": "NHI",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT- CERTIFIED",
        "authorized_official_telephone_number": "702-927-3599",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "54015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monserate Mitchell, LVN
• Jacalyn Mizer, RPH
• MKG Medical Network Assistance LLC
• Mobile Cone Beam CT Scan Inc (Mobile Cone Beam Ct Scans)
• Mobile Orthopedic Physical Therapy Services, Inc.
• Solmaz N/a Modeer, RT, RTM
• Modern Home Health Care, Inc.
• Moderne Hospice Care Inc
• Roberto Mogrovejo
• Roshanak Mohaghegh

• Medical Physician Assistant in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.