CABLE STREET FAMILY PRACTICE AND MEDICAL GROUP, INC. (NPI# 1184834012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184834012 |
| Entity Type | Organization |
| Organization Name | CABLE STREET FAMILY PRACTICE AND MEDICAL GROUP, INC. |
| Practice Address |
1808 Cable St San Diego CA 92107-3103 |
| Practice Telephone | 6192214490 |
| Practice Fax Number | 6192214494 |
| Mailing Telephone | 6192214490 |
| Mailing Fax Number | 6192214494 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2015-12-21 |
| Authorized Official Name | MR. NOLI A CAVA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6192214490 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
G84802 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PTAN | W14659 | 01 |
| CA | 3836332 | 05 |
| Street Address |
1808 CABLE ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92107-3103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497111322 | Amanda Malicki | Occupational Therapist | 1567 Ocean Front St, San Diego, CA 92107 | 2016-01-07 |
| 1841689031 | Shari Houser | Marriage & Family Therapist | 1969 Sunset Cliffs Blvd, San Diego, CA 92107 | 2015-01-12 |
| 1740627868 | Marie Catherine Dumas | Psychologist | 3863 Coronado Ave, San Diego, CA 92107 | 2013-05-30 |
| 1386914422 | South Bay Internal Medicine and Family Practice | Non-Pharmacy Dispensing Site | 374 H Street, 202, San Diego, CA 92107 | 2012-01-06 |
| 1396023982 | Brooke Michelle Nielsen | Marriage & Family Therapist | 312 S. Cedros Ave. Ste 334, Ste. 304, Solana Beach, CA 92107 | 2011-07-29 |
| 1871890889 | Elizabeth Cantori | Occupational Therapist | 1865 1/2 Ebers St, San Diego, CA 92107 | 2011-02-28 |
| 1861716482 | Dina Chalom | Physical Therapist | 4833 Pescadero Ave Apt 3, San Diego, CA 92107 | 2010-03-25 |
| 1265762983 | David A. Schein | Psychiatry & Neurology | 4517 Newport Avenue, San Diego, CA 92107 | 2009-12-31 |
| 1184836215 | County of San Diego, Aging & Independance Services | Community/Behavioral Health | 4858 Del Mar Ave, San Diego, CA 92107 | 2007-05-03 |
| 1063535813 | James Wilson Jones | Dentist | 1499 Sunset Cliffs Blvd, San Diego, CA 92107 | 2007-04-09 |
| Find all providers in zip 92107 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
| 1306463542 | Wellhaven Primary Care | Clinic/Center | 5555 Reservoir Dr Ste 303, San Diego, CA 92120-5181 | 2020-07-04 |
| 1205452349 | Klp Global | Clinic/Center | 3023 Bunker Hill St Ste 103, San Diego, CA 92109-5706 | 2020-06-24 |
| 1790247450 | Shawn Slayton, M.d. Inc. | Clinic/Center | 2700 Adams Ave Ste 209, San Diego, CA 92116-1367 | 2019-04-02 |
| 1073084729 | Bryan L Abramowitz Md Inc. | Clinic/Center | 4282 Genesee Ave Ste 302, San Diego, CA 92117-4985 | 2018-12-06 |
| 1699268458 | Monica Perlman Md Inc. | Clinic/Center | 555 W C St Ste 102, San Diego, CA 92101-8470 | 2018-06-07 |
| 1992200562 | Monica Perlman Md, Inc | Clinic/Center | 12925 El Camino Real Ste T25, San Diego, CA 92130-1891 | 2018-03-27 |
| 1396279113 | Dr Jaiswals Medical Center PC | Clinic/Center | 17424 Ashburton Rd, San Diego, CA 92128-3937 | 2017-04-18 |
| 1215381728 | Performance Sports and Family Medicine | Clinic/Center | 1277 Kettner Blvd Unit 311, San Diego, CA 92101-3381 | 2016-04-20 |
| 1093176331 | Stanford Employer Health Clinics | Clinic/Center | 10155 Pacific Heights Boulevard, San Diego, CA 92121 | 2016-03-15 |
| 1588024442 | Stanford Employer Health Clinics | Clinic/Center | 5535 Morehouse Dr Bldg S, Suite 270, San Diego, CA 92121-1710 | 2016-03-03 |
| Find all providers in SAN DIEGO | ||||
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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.