DR. GREGORY A MAYNARD (NPI# 1265460331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265460331 |
Entity Type | Individual |
Full Name | DR. GREGORY A MAYNARD |
Credential | M.D. |
Practice Address |
200 W Arbor Dr San Diego CA 92103-9000 |
Mailing Address |
13113 Winstanley Way San Diego CA 92130-1349 |
Practice Telephone | 6195436222 |
Practice Fax Number | 6195433183 |
Mailing Telephone | 8582592050 |
Enumeration Date | 2006-06-29 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | G86750 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00G867500 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063450187 | Gregory V. Maynard | Family Medicine | 404 E Rolla Rd, Salem, MO 65560-1563 | 2006-06-02 |
1366853178 | Gregory Maynard | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2014-05-14 |
Street Address |
200 W ARBOR DR |
City | SAN DIEGO |
State | CA |
Zip Code | 92103-9000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043215502 | Alfredo B. Tiu | Internal Medicine | 200 W Arbor Dr, Owen Clinic, San Diego, CA 92103-9001 | 2005-06-20 |
1841806536 | Kevin Thai Nguyen | Pharmacist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-09-18 |
1003421256 | Jessica Lynette Montoya | Psychologist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-09-14 |
1013522838 | Julianna L Gorder | Psychologist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-09-09 |
1992318828 | Yodit Mekonnen Teklu | Pharmacist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-08-29 |
1356954283 | Dalia Siada | Dietitian, Registered | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-08-29 |
1699383588 | Rachael Ashley Gordon | Pharmacist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-07-17 |
1124646906 | Jeffrey David Bernstein | Student in an Organized Health Care Education/Training Program | 200 W Arbor Dr, Mc 1234, San Diego, CA 92103-9000 | 2020-07-08 |
1639796071 | Darcie D Brown | Marriage & Family Therapist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-07-01 |
1194340919 | Han B Dinh | Pharmacist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-06-09 |
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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 |
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Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
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. |
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1225664964 | Andres Smith M.d. A Professional Medical Corporation | Internal Medicine | 6244 El Cajon Blvd Ste 29, San Diego, CA 92115-3918 | 2020-03-13 |
1154972388 | Kimberly Hall Fernandez | Internal Medicine | 700 W E St Unit 2101, San Diego, CA 92101-5993 | 2019-09-29 |
1992289300 | Sd Healthcare Solutions | Internal Medicine | 5943 Thorn St, San Diego, CA 92105-3916 | 2018-09-21 |
1992295331 | Alera Inc | Internal Medicine | 2667 Camino Del Rio S Ste 307-6, San Diego, CA 92108 | 2018-05-11 |
1275020844 | Lf Capital Inc | Internal Medicine | 438 Camino Del Rio S Ste 203, San Diego, CA 92108-3546 | 2018-04-18 |
1710401302 | Ca Post Acute Specialists PC | Internal Medicine | 3525 Del Mar Heights Rd # 966, San Diego, CA 92130-2199 | 2017-07-26 |
1063933604 | John Jackson Howard | Internal Medicine | 4616 Patricia Pl, San Diego, CA 92115-1934 | 2017-07-05 |
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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.