MEDICARE: STEPHANIE O'BRIEN GONDA NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	95010771	CA

General Provider Information

NPI Number	:	1306300272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE O'BRIEN GONDA NP

Provider Business Mailing Address
First Line	:	13546 SAGEWOOD DR
Second Line	:
City	:	POWAY
State	:	CA
Zip	:	92064-1730
Country	:	US
Telephone Number	:	858-444-5828
Fax Number	:

Provider Business Practice Location Address
First Line	:	3830 VALLEY CENTRE DR STE 702
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92130-3307
Country	:	US
Telephone Number	:	858-720-0554
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2019
Last Update Date	:	01/15/2025

Similar Medicare Providers

1619902954 — MR. JASON TU O.D.
Practice Location Address:

3830 VALLEY CENTRE DR STE 703
SAN DIEGO, CA
92130-3307

Practice Phone: 858-350-4980
Practice Fax:

1407940158 — DR. JAMES WILLIAM LOYE DDS
Practice Location Address:

3830 VALLEY CENTRE DR STE 702
SAN DIEGO, CA
92130-3307

Practice Phone: 858-792-9661
Practice Fax:

1073176681 — ANNE JANETTE JURKOWSKI RN
Practice Location Address:

3830 VALLEY CENTRE DR STE 702
SAN DIEGO, CA
92130-3307

Practice Phone: 858-720-0554
Practice Fax: 858-720-0553

1326714197 — INVISION OPTOMETRY VENTURES, INC
Practice Location Address:

3830 VALLEY CENTRE DR STE 703
SAN DIEGO, CA
92130-3307

Practice Phone: 858-350-4980
Practice Fax: 858-350-4985

1619974623 — MS. KIMBERLEE J KNOX PA-C
Practice Location Address:

3307 4TH AVE
SAN DIEGO, CA
92103-5703

Practice Phone: 619-347-5771
Practice Fax:

1154138311 — BADIS THERAPY LMFT INC
Practice Location Address:

3441 39TH ST
SAN DIEGO, CA
92105-3307

Practice Phone: 909-219-0274
Practice Fax: 619-209-3092

Directions to “ STEPHANIE O'BRIEN GONDA NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.