KASSANDRA MARIE BARACEROS RN NPI 1003448655

Registered Nurse in San Diego, CA

Individual Female Registered Nurse

About KASSANDRA BARACEROS

Kassandra Baraceros is a provider established in San Diego, California and her medical specialization is registered nurse. The NPI number of Kassandra Baraceros is 1003448655 and was assigned on February 2020. The practitioner's primary taxonomy code is 163W00000X with license number 95138709 (CA). The provider is registered as an individual and her NPI record was last updated February 2020.

NPI

1003448655

Provider Name KASSANDRA MARIE BARACEROS RN
Provider Location Address928 BROADWAY SAN DIEGO, CA 92101
Provider Mailing Address928 BROADWAY SAN DIEGO, CA 92101
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date02-11-2020
Last Update Date02-11-2020

Primary Taxonomy

Taxonomy Code163W00000X
ClassificationRegistered Nurse
TypeNursing Service Providers
License No.95138709
License StateCA
Taxonomy Description(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Business Address

KASSANDRA MARIE BARACEROS RN
928 BROADWAY
SAN DIEGO, CA
ZIP 92101
Phone: (619) 275-0822
Fax: (619) 275-5069

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Mailing Address

KASSANDRA MARIE BARACEROS RN
928 BROADWAY
SAN DIEGO, CA
ZIP 92101
Phone: (619) 275-0822
Fax: (619) 275-5069

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093087959 SHANMEI CLAIRE LO
Individual
Marriage & Family Therapist928 BROADWAY
SAN DIEGO, CA 92101
(619) 977-3716
1194035477MRS. ALLISON MARIE WARCHOLIK R.N., PHN
Individual
Registered Nurse (Psychiatric/Mental Health)928 BROADWAY
SAN DIEGO, CA 92101
(619) 977-3716
1194270934 TRICIA CLEMENTE
Individual
Counselor (Mental Health)928 BROADWAY
SAN DIEGO, CA 92101
(619) 977-3716
1215226063 KAREN ELIZABETH MILLER MA CADC-II ICADC
Individual
Counselor (Addiction (Substance Use Disorder))928 BROADWAY
SAN DIEGO, CA 92101
(619) 977-3716
1255693420COMMUNITY RESEARCH FOUNDATION
Organization
Community/Behavioral Health928 BROADWAY
SAN DIEGO, CA 92101
(619) 977-3716
1255866653 BROOKE SILVERIA
Individual
Student in an Organized Health Care Education/Training Program928 BROADWAY
SAN DIEGO, CA 92101
(619) 977-3716
1336593417MR. ZACHARY BARON ASW
Individual
Counselor (Mental Health)928 BROADWAY
SAN DIEGO, CA 92101
1407224876 MICHAEL HUFFMAN
Individual
Counselor (Mental Health)928 BROADWAY
SAN DIEGO, CA 92101
(619) 977-3716
1427571959 SUSAN SZAKONYI JAMES
Individual
Counselor (Mental Health)928 BROADWAY
SAN DIEGO, CA 92101
(619) 977-3716
1447766043 KATIE JEAN WOOD
Individual
Peer Specialist928 BROADWAY
SAN DIEGO, CA 92101
(619) 977-3716
1588060479 GEORGINA DAVALOS
Individual
Case Manager/Care Coordinator928 BROADWAY
SAN DIEGO, CA 92101
(619) 977-3716
1710135892MS. NICOLE LOEBACH LCSW, MPH
Individual
Social Worker (Clinical)928 BROADWAY
SAN DIEGO, CA 92101
(619) 977-3716
1790215812 TESSA R FRIEDEBORN ASW
Individual
Counselor (Mental Health)928 BROADWAY
SAN DIEGO, CA 92101
(619) 977-3716
1790927887 JENNIFER LIM TAN
Individual
Counselor (Mental Health)928 BROADWAY
SAN DIEGO, CA 92101
(619) 977-3716
1801265079 KATRINA JORGENSEN
Individual
Counselor (Mental Health)928 BROADWAY
SAN DIEGO, CA 92101
(619) 977-3716
1811483688 REGAN KINNEY MA
Individual
Peer Specialist928 BROADWAY
SAN DIEGO, CA 92101
(619) 977-3716
1902328289 JADA AVERY HOLST
Individual
Student in an Organized Health Care Education/Training Program928 BROADWAY
SAN DIEGO, CA 92101
(619) 977-3716
1922388172 BRIDGET KIEFABER LCSW
Individual
Social Worker (Clinical)928 BROADWAY
SAN DIEGO, CA 92101
(619) 977-3716
1952547572MR. DAVID M JONES IMF
Individual
Counselor (Mental Health)928 BROADWAY
SAN DIEGO, CA 92101
(619) 977-3716
1952647323MS. KATJA HORSCH RN
Individual
Registered Nurse (Psychiatric/Mental Health, Adult)928 BROADWAY
SAN DIEGO, CA 92101
(619) 977-3716

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.