DR. VISHAL BANSAL (NPI# 1194889410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194889410 |
| Entity Type | Individual |
| Full Name | DR. VISHAL BANSAL |
| Credential | M.D. |
| Practice Address |
550 Washington St Ste 641 San Diego CA 92103-2229 |
| Practice Telephone | 6192983100 |
| Practice Fax Number | 6192993923 |
| Mailing Telephone | 6192983100 |
| Mailing Fax Number | 6192993923 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2015-06-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | A94958 | CA | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
A94958 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
550 WASHINGTON ST STE 641 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-2229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760430417 | Matthew Jeffrey Martin | Surgery | 550 Washington St Ste 641, San Diego, CA 92103-2229 | 2006-05-05 |
| 1306369798 | Mercy Vascular, A Professional Medical Corporation | Surgery | 550 Washington St Ste 641, San Diego, CA 92103-2229 | 2017-07-18 |
| 1659416485 | Fakhri M. Salem | Specialist | 550 Washington St Ste 641, San Diego, CA 92103-2229 | 2007-02-20 |
| 1699833012 | Jeffrey Scott Weiss | Surgery | 550 Washington St Ste 641, San Diego, CA 92103-2229 | 2006-12-05 |
| 1215018403 | Kimberly A Peck | Surgery | 550 Washington St Ste 641, San Diego, CA 92103-2229 | 2006-10-17 |
| 1043310030 | Richard I Blum | Internal Medicine | 550 Washington St Ste 641, San Diego, CA 92103-2229 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598863193 | Lawrence Roberts | Surgery | 7930 Frost St Ste 204, San Diego, CA 92123-2739 | 2006-09-20 |
| 1285266353 | Abc Trauma, Inc. | Surgery | 7930 Frost St Ste 204, San Diego, CA 92123-2739 | 2020-02-06 |
| 1295237022 | Idahosurgeons Net PC | Surgery | 7910 Frost St Ste 250, San Diego, CA 92123-2752 | 2018-03-07 |
| 1023474442 | Diane Wintz Md Inc | Surgery | 7910 Frost St, Ste 450, San Diego, CA 92123-2771 | 2016-01-14 |
| 1376839167 | Kuong Ngann | Surgery | 200 W Arbor Dr, Mc 8896, San Diego, CA 92103-8896 | 2011-06-21 |
| 1932401239 | Jsheard Md Incorporated | Surgery | 4025 Camino Del Rio S, Ste 250, San Diego, CA 92108-4107 | 2010-11-19 |
| 1538484084 | Amelia Jean Simpson | Surgery | 7930 Frost St Ste 204, San Diego, CA 92123-2739 | 2010-03-27 |
| 1639398225 | Robert D. Tonks, M.d., Inc | Surgery | 8010 Frost St, Suite 604, San Diego, CA 92123-2778 | 2007-04-24 |
| 1649334657 | Jeanne G. Lee | Surgery | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2006-12-21 |
| 1669494662 | Sandra L Freiwald | Surgery | 200 W Arbor Dr, Mail Code 8201, San Diego, CA 92103-9001 | 2006-07-25 |
| 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.