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CHARISSA LAKE
NPI 1124479225
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since June 29, 2016
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161(858) 642-3345(858) 642-3408 Get Directions Write a Review

NPPES record last updated: June 29, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charissa Lake NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARISSA LAKE (NPI 1124479225) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1124479225
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCHARISSA LAKE
Location Address3350 LA JOLLA VILLAGE DRSan Diego, CA 92161-0002
Mailing Address3350 La Jolla Village Dr, Administration Building #27, Suite 2106.bSan Diego, CA 92161-0002 · (858) 642-3345 · Fax (858) 642-3408
Phone(858) 642-3345
Fax(858) 642-3408
Sole ProprietorNo
Enumeration DateJune 29, 2016
✔ NPI 1124479225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.
3350 LA JOLLA VILLAGE DR, San Diego, CA 92161
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JENNIFER ANNE FREIMUND M.D.
Internal Medicine (Geriatric Medicine)
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161
San Diego County (858) 552-7475
MRS. LINDA REID HOLLAND PT
Physical Therapist
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161
San Diego County (858) 552-7487
DR. JONATHAN M MEYER M.D.
Psychiatry & Neurology (Psychiatry)
3350 LA JOLLA VILLAGE DR, 116-A
SAN DIEGO, CA 92161
San Diego County (858) 642-3570
ANDREW BISMARK
Psychologist (Clinical)
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161
San Diego County (858) 245-5825
LORNA FRANCES DOUCETTE
Pharmacist (Psychiatric)
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161
San Diego County (828) 545-5072
MS. LISA ARAI PHARM.D.
Pharmacist (Psychiatric)
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161
San Diego County (858) 552-8585
HAYLEY MARIE HOWELLS MPT
Physical Therapist
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161
San Diego County (858) 642-3138
JOAN MARIE FITZGERALD RN, MSN, FNP
Nurse Practitioner (Family)
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161
San Diego County (858) 552-8585

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charissa Lake's NPI number?

The NPI number for Charissa Lake is 1124479225. It was assigned to this individual provider in the NPPES registry on June 29, 2016.

Where is Charissa Lake located?

Charissa Lake practices at 3350 La Jolla Village Dr, San Diego, CA 92161. The listed phone number is (858) 642-3345.

What is Charissa Lake's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Charissa Lake was last updated on June 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.