SRIVIDYA NARASIMHAN SAMPATH (NPI# 1275892754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275892754 |
| Entity Type | Individual |
| Full Name | SRIVIDYA NARASIMHAN SAMPATH |
| Credential | MD |
| Practice Address |
4725 Market St San Diego CA 92102-4715 |
| Mailing Address |
823 Gateway Center Way San Diego CA 92102 |
| Practice Telephone | 6195152560 |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A132576 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8788 Jamacha Rd, Spring Valley, CA 919774035 | 6195152555 |
| Street Address |
4725 MARKET ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92102-4715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346276540 | Justina Jennan Tseng | Internal Medicine | 4725 Market St, San Diego, CA 92102-4715 | 2006-06-23 |
| 1134686744 | Sarah Nicole Goldfinger | Nurse Practitioner | 4725 Market St, San Diego, CA 92102-4715 | 2019-03-01 |
| 1942764477 | Yuin-wah Lum | Nurse Practitioner | 4725 Market St, San Diego, CA 92102-4715 | 2019-01-29 |
| 1487128617 | Kathleen H Maietta | Counselor | 4725 Market St, San Diego, CA 92102 | 2019-01-22 |
| 1255785150 | Jennifer Kay Chen | Pediatrics | 4725 Market St, San Diego, CA 92102 | 2016-04-17 |
| 1225463730 | Jennifer Stacia Fuller-christie | Nurse Practitioner | 4725 Market St, San Diego, CA 92102-4715 | 2013-09-04 |
| 1235576059 | Lisa Marie Songco Hamilton | Family Medicine | 4725 Market St, San Diego, CA 92102-4715 | 2013-06-03 |
| 1679859250 | Brittanie Lee Eggan | Physician Assistant | 4725 Market St, San Diego, CA 92102-4715 | 2011-10-27 |
| 1649564295 | Sheena M Ogando | Internal Medicine | 4725 Market St, San Diego, CA 92102-4715 | 2011-05-31 |
| 1831482892 | Steven J Arias | Psychologist | 4725 Market St, San Diego, CA 92102 | 2011-05-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766698 | Daniela Tablas | Behavioral Analyst | 303 47th St Spc D-22, San Diego, CA 92102 | 2020-09-30 |
| 1649745712 | Juliet Lao Kurek | Pharmacist | 2121 Imperial Avenue, San Diego, CA 92102 | 2018-10-04 |
| 1851887020 | Monique Joseph | Counselor | 2410 E. Street, San Diego, CA 92102 | 2018-07-10 |
| 1184166316 | Elise Blanton-hubbard | Counselor | 1850 Dale St, San Diego, CA 92102 | 2016-11-04 |
| 1699221416 | Kari Judith Medina | Student in an Organized Health Care Education/Training Program | 1199 34th Street Apt 11, San Diego, CA 92102 | 2016-08-31 |
| 1942674536 | Caitlin Hillary Dablow | Speech-Language Pathologist | 1201 34th Street, San Diego, CA 92102 | 2015-11-19 |
| 1134508179 | Jonathan Waters | Military Health Care Provider | 1233 22nd Street, Unit 8, San Diego, CA 92102 | 2015-05-22 |
| 1871989913 | Abraham Greenberg | Pediatrics | 15 Balfour Street, Jerusalem, ISRAEL 92102 | 2015-04-15 |
| 1023421021 | Elmira Aghdam | Chiropractor | 5030 Bonita Rd Ste#b, Bonita, CA 92102 | 2014-06-06 |
| 1487092540 | Sherry Scott | Marriage & Family Therapist | 995 Gateway Center Drive #300, San Diego, CA 92102 | 2013-06-11 |
| Find all providers in zip 92102 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700342748 | San Diego Uptown Pediatric Medical Group, Inc | Pediatrics | 3500 Fifth Ave Ste 101, San Diego, CA 92103-5020 | 2019-02-14 |
| 1467976340 | Cheryl Adele Burian | Pediatrics | 6572 Cascade St, San Diego, CA 92122-2425 | 2017-08-01 |
| 1043747819 | Karen Chan | Pediatrics | 3030 Childrens Way Fl 4, San Diego, CA 92123-4232 | 2017-05-11 |
| 1922462209 | Meaghan Wido | Pediatrics | Naval Medical Ctr 34800 Bob Wilson Drive, San Diego, CA 92134-5000 | 2016-04-12 |
| 1427434679 | Coast Pediatrics Carmel Valley | Pediatrics | 5965 Village Drive, Suite 201, San Diego, CA 92130 | 2015-08-10 |
| 1194104521 | Charles E Pohl IIi | Pediatrics | 3020 Childrens Way # Mc5065, San Diego, CA 92123-4223 | 2015-05-18 |
| 1477948479 | Thuan Diep | Pediatrics | 12036 Scripps Highlands Dr Ste 102, San Diego, CA 92131-5155 | 2015-04-06 |
| 1518352970 | Karen Ki Won Lee | Pediatrics | 3020 Childrens Way # Mc5035, San Diego, CA 92123-4223 | 2015-04-02 |
| 1730594235 | Jessie Su Bowers | Pediatrics | 12036 Scripps Highlands Dr # 102, San Diego, CA 92131-5155 | 2014-06-24 |
| 1154683043 | Daniel Micah Lichtmann | Pediatrics | 15004 Innovation Drive, San Diego, CA 92128 | 2012-06-15 |
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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.