JOHN S VIDEEN (NPI# 1043318199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043318199 |
| Entity Type | Individual |
| Full Name | JOHN S VIDEEN |
| Credential | MD |
| Practice Address |
752 Medical Center Ct Suite 302 Chula Vista CA 91911-6658 |
| Mailing Address |
9610 Granite Ridge Dr Ste B San Diego CA 92123-2684 |
| Practice Telephone | 6194213361 |
| Practice Fax Number | 6196568936 |
| Mailing Telephone | 8588108000 |
| Mailing Fax Number | 8582681911 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-09-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
G59271 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SO. CALIFORNIA PTAN | BD830S | 01 |
| CA | 00G592710 | 05 | |
| CA | NO. CALIFORNIA PTAN | CA108496 | 01 |
| Street Address |
752 MEDICAL CENTER CT SUITE 302 |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91911-6658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649266834 | Steven Brozinsky | Internal Medicine | 752 Medical Center Ct, 301, Chula Vista, CA 91911-6658 | 2005-09-22 |
| 1508370875 | Melanie Akins | Nurse Practitioner | 752 Medical Center Ct, Chula Vista, CA 91911-6658 | 2017-11-25 |
| 1730485657 | John Tillner Dental Corporation | Dentist | 752 Medical Center Ct, Ste 205, Chula Vista, CA 91911-6658 | 2011-02-10 |
| 1295043388 | Dhwanil V Vyas | Internal Medicine | 752 Medical Center Ct, Suite 302, Chula Vista, CA 91911-6658 | 2010-09-22 |
| 1750608931 | Pourang Kamali Md Inc | Clinic/Center | 752 Medical Center Ct, 106, Chula Vista, CA 91911-6658 | 2010-04-27 |
| 1265758528 | Urology Specialists of San Diego Inc | Urology | 752 Medical Center Ct, Suite 302, Chula Vista, CA 91911-6658 | 2010-04-12 |
| 1316135452 | John Emery Tillner Jr. | Dentist | 752 Medical Center Ct, #205, Chula Vista, CA 91911-6658 | 2007-10-12 |
| 1679604714 | Kenneth A. Romero, M.d., Inc | Pain Medicine | 752 Medical Center Ct, Chula Vista, CA 91911-6658 | 2007-03-08 |
| 1891893848 | John Videen Md,inc | Internal Medicine | 752 Medical Center Ct, Suite 210, Chula Vista, CA 91911-6658 | 2006-09-20 |
| 1427071356 | Jennifer Christine Kastello | Nurse Practitioner | 752 Medical Center Ct, Suite 106, Chula Vista, CA 91911-6658 | 2006-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011064 | Hfm Inc | Pharmacy | 750 Medical Center Court, Suite 8, Unit A, Chula Vista, CA 91911 | 2020-07-24 |
| 1659991198 | Cindy Way | Student in an Organized Health Care Education/Training Program | 1161 Bay Blvd. Ste. B Chula Vista,ca 91911, Chula Vista, CA 91911 | 2020-04-24 |
| 1083243455 | Uriel Angel Gonzalez | Student in an Organized Health Care Education/Training Program | 1161 Bay Boulevard B, Chula Vista, Chula Vista, CA 91911 | 2020-04-07 |
| 1083252464 | Denisse Patricia Macias | Dentist | 235 East Orange Avenue, Apartment E4, Chula Vista, CA 91911 | 2019-12-16 |
| 1952955494 | Jenifer Irene Wright | Counselor | 1180 Third Ave Suite C-3, Chula Vista, CA 91911 | 2019-08-01 |
| 1891357075 | Myriam Lourdes Scales | Counselor | 1172 3rd Ave Suite D1, Chula Vista, CA 91911 | 2019-07-08 |
| 1295228328 | Centro De Salud De La Comunidad De San Ysidro, Inc | Clinic/Center | 880 Third Ave Ste A, Chula Vista, CA 91911 | 2018-06-13 |
| 1902398589 | The Arc of San Diego | Day Training, Developmentally Disabled Services | 1280 Nolan Avenue, Chula Vista, CA 91911 | 2018-05-31 |
| 1003344292 | Jalitza Cardona | Peer Specialist | 853 3rd Ave, Suite C, Chula Vista, CA 91911 | 2017-06-01 |
| 1598138042 | Amy Nylund | Nurse Practitioner | 754 Medical Center Ct Ste 100, Chula Vista, CA 91911 | 2015-11-05 |
| Find all providers in zip 91911 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912219155 | Kathy Khaing | Internal Medicine | 340 4th Ave Ste 4, Chula Vista, CA 91910 | 2010-07-03 |
| 1326043027 | Diogo S. Belo | Internal Medicine | 340 4th Ave, Ste 4, Chula Vista, CA 91910-3813 | 2005-06-17 |
| 1821359605 | Amar V Patel | Internal Medicine | 340 4th Ave Ste 4, Chula Vista, CA 91910 | 2012-06-07 |
| 1295043388 | Dhwanil V Vyas | Internal Medicine | 752 Medical Center Ct, Suite 302, Chula Vista, CA 91911-6658 | 2010-09-22 |
| 1366539793 | Rodrigo J Fernandez | Internal Medicine | 480 4th Ave, Ste 516, Chula Vista, CA 91910-4410 | 2006-10-06 |
| 1922119445 | Luis A Bedoya | Internal Medicine | 340 4th Ave, Ste 4, Chula Vista, CA 91910-3813 | 2006-08-31 |
| 1255394789 | Jill Marie Meyer | Internal Medicine | 752 Medical Center Ct, Suite 302, Chula Vista, CA 91911-6658 | 2006-04-07 |
| 1760461206 | Adam K Horeish | Internal Medicine | 340 4th Ave, Suite 4, Chula Vista, CA 91910-3813 | 2006-01-12 |
| 1730160425 | Elizabeth Lozada-pastorio | Internal Medicine | 340 4th Ave, Ste 4, Chula Vista, CA 91910-4414 | 2005-11-09 |
| 1841295482 | Ricardo A. Soltero | Internal Medicine | 340 4th Ave, Ste 4, Chula Vista, CA 91910-3813 | 2005-06-20 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91911 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.