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MICHAEL J SHORT
NPI 1134354889
Specialist in San Diego, CA

Active since May 26, 2009
3340 KEMPER ST STE 105, SAN DIEGO, CA 92110(619) 523-8121(619) 523-8742 Get Directions Write a Review

NPPES record last updated: April 28, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Michael J Short NPPES

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

MICHAEL J SHORT (NPI 1134354889) is an individual specialist in San Diego, California and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1134354889
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMICHAEL J SHORT
Location Address3340 KEMPER ST STE 105San Diego, CA 92110-4907
Mailing Address3340 Kemper St Ste 105San Diego, CA 92110-4907 · (619) 523-8121 · Fax (619) 523-8742
Phone(619) 523-8121
Fax(619) 523-8742
Sole ProprietorYes
Enumeration DateMay 26, 2009
Last NPPES UpdateApril 28, 2015
✔ NPI 1134354889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3340 KEMPER ST STE 105, San Diego, CA 92110
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Other Identifiers 1

Medicaid373781000CA

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.

PABLO R SAMAYOA SUDRC
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
JUDITH MARIE YOUNG SUDRC 11732
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
MRS. MADELINE ELIZABETH ROCHA MS, LMFT
Counselor (Mental Health)
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
LYDIA E. LOPEZ
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
LISA KAY ANTCLIFF SUDRC # 22517
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
MS. MONICA LEA PEDDICORD CADC-II
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
MARIE G DENIS
Counselor
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
KEITH PATRICK SULLIVAN
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121

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 Michael Short's NPI number?

The NPI number for Michael Short is 1134354889. It was assigned to this individual provider in the NPPES registry on May 26, 2009.

Where is Michael Short located?

Michael Short practices at 3340 Kemper St Ste 105, San Diego, CA 92110. The listed phone number is (619) 523-8121.

What is Michael Short's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Michael Short was last updated on April 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.