PEDIATRIC PRIMARY CARE ASSOCIATED MEDICAL GROUP (NPI# 1356631972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356631972 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC PRIMARY CARE ASSOCIATED MEDICAL GROUP |
| Practice Address |
550 Washington St Ste 300 San Diego CA 92103-2213 |
| Practice Telephone | 6197571468 |
| Practice Fax Number | 6192430722 |
| Mailing Telephone | 6197571468 |
| Mailing Fax Number | 6192430722 |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2011-04-15 |
| Authorized Official Name | DR. STEPHEN H CARSON (PRESIDENT) |
| Authorized Official Telephone | 6197571468 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | G393080 | CA | Managed Care Organizations |
| Street Address |
550 WASHINGTON ST STE 300 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841235645 | Mathew S Isho | Colon & Rectal Surgery | 550 Washington St, Suite 821, San Diego, CA 92103-2213 | 2006-06-17 |
| 1437444858 | Stephanie Elise Cone | Pediatrics | 550 Washington St, Suite 300, San Diego, CA 92103 | 2011-06-14 |
| 1386968188 | Scripps Health | Preventive Medicine | 550 Washington St, Ste # 601, San Diego, CA 92103-2213 | 2010-03-23 |
| 1982876645 | Mathew Isho, M.d., P.C. | Surgery | 550 Washington St, Suite 821, San Diego, CA 92103-2213 | 2008-04-02 |
| 1346435625 | Bibiane Kim Tinio | Nurse Practitioner | 550 Washington St, Suite 601, San Diego, CA 92103-2213 | 2007-09-11 |
| 1164627832 | Nicole M Hibbs | Specialist | 550 Washington St, Ste 300, San Diego, CA 92103-2227 | 2007-06-20 |
| 1710190111 | Linda Marie Schwartz | Physician Assistant | 550 Washington St, San Diego, CA 92103-2213 | 2007-05-08 |
| 1215050521 | Marc Gehr M.d. | Internal Medicine | 550 Washington St, Suite 423, San Diego, CA 92103-2213 | 2007-04-10 |
| 1780719872 | Stephen H Carson | Specialist | 550 Washington St, Suite 300, San Diego, CA 92103-2213 | 2007-02-22 |
| 1215062310 | Whitney C Edwards | Specialist | 550 Washington St, Suite 300, San Diego, CA 92103-2213 | 2007-02-22 |
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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 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851921860 | Jj Physicians Group, Inc. | Health Maintenance Organization | 7825 Engineer Rd Ste 101, San Diego, CA 92111-1929 | 2020-01-17 |
| 1821503392 | Aetna Better Health of California Inc. | Health Maintenance Organization | 10260 Meanley Dr, San Diego, CA 92131-3009 | 2017-12-06 |
| 1790134542 | Jeanna Mae Castro | Health Maintenance Organization | 3609 4th Ave, San Diego, CA 92103-4105 | 2016-06-11 |
| 1679831325 | University of California San Diego | Health Maintenance Organization | 4527 Contour Blvd, Unir 7, San Diego, CA 92115-3464 | 2012-05-01 |
| 1700186616 | Seniors of San Diego | Health Maintenance Organization | 5019 Surfside Dr, San Diego, CA 92154-8449 | 2010-10-26 |
| 1831422203 | Stairway Outreach, Inc. | Health Maintenance Organization | 16885 Via Del Campo Ct, Suite 210, San Diego, CA 92127-1721 | 2009-09-16 |
| 1013193341 | Stg International | Health Maintenance Organization | 1717 Evergreen St, San Diego, CA 92106-1901 | 2008-01-16 |
| 1972794089 | Sombath Senethong, M.d. | Health Maintenance Organization | 1748 Euclid Ave, San Diego, CA 92105-5415 | 2007-08-05 |
| 1023180189 | Mission Medical Group of The Inland Empire | Health Maintenance Organization | 9275 Sky Park Ct Ste 400, San Diego, CA 92123-4386 | 2006-11-14 |
| 1407955016 | Beth Corrick Mft | Health Maintenance Organization | 5752 Oberlin Dr Ste 203, San Diego, CA 92121-1749 | 2006-09-21 |
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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.