ADAM KETCHESIN
NPI 1477017994
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since January 29, 2019
3132 JEFFERSON ST, SAN DIEGO, CA 92110(619) 683-3100 Get Directions Write a Review

NPPES record last updated: January 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Adam Ketchesin NPPES

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

ADAM KETCHESIN (NPI 1477017994) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1477017994
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameADAM KETCHESIN
Location Address3132 JEFFERSON STSan Diego, CA 92110-4421
Mailing Address3132 Jefferson StSan Diego, CA 92110-4421
Sole ProprietorNo
Enumeration DateJanuary 29, 2019
NPI 1477017994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
3132 JEFFERSON ST, San Diego, CA 92110

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.

Licensed Vocational Nurse
3132 JEFFERSON ST
SAN DIEGO, CA 92110
Case Manager/Care Coordinator
3132 JEFFERSON ST
SAN DIEGO, CA 92110
Counselor
3132 JEFFERSON ST
SAN DIEGO, CA 92110
Case Manager/Care Coordinator
3132 JEFFERSON ST
SAN DIEGO, CA 92110
Counselor
3132 JEFFERSON ST
SAN DIEGO, CA 92110
Case Manager/Care Coordinator
3132 JEFFERSON ST
SAN DIEGO, CA 92110
Counselor
3132 JEFFERSON ST
SAN DIEGO, CA 92110
Social Worker (Clinical)
3132 JEFFERSON ST
SAN DIEGO, CA 92110

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 Adam Ketchesin's NPI number?

The NPI number for Adam Ketchesin is 1477017994. It was assigned to this individual provider in the NPPES registry on January 29, 2019.

Where is Adam Ketchesin located?

Adam Ketchesin practices at 3132 Jefferson St, San Diego, CA 92110. The listed phone number is (619) 683-3100.

What is Adam Ketchesin'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 Adam Ketchesin was last updated on January 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.