JUAN DEZA (NPI# 1407846157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407846157 |
| Entity Type | Individual |
| Full Name | JUAN DEZA |
| Credential | M.D. |
| Practice Address |
7910 Frost Street Suite 245 San Diego CA 92123 |
| Practice Telephone | 8586505037 |
| Practice Fax Number | 8586505039 |
| Mailing Telephone | 8586505037 |
| Mailing Fax Number | 8586505039 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2016-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
A45058 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A450580 | 05 |
| Street Address |
7910 FROST STREET SUITE 245 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841292521 | Chest Medicine and Critical Care Medical Group, Inc. | Internal Medicine | 7910 Frost Street, Suite 245, San Diego, CA 92123 | 2005-08-12 |
| 1740560044 | Olga D. Rose | Pediatrics | 7910 Frost Street, Suite 350, San Diego, CA 92123-2776 | 2011-08-18 |
| 1588816086 | Tevy Tith | Obstetrics & Gynecology | 7910 Frost Street, San Diego, CA 92123-4223 | 2008-10-15 |
| 1699955625 | Carol Elizabeth Hecker | Nurse Practitioner | 7910 Frost Street, Suite 450, San Diego, CA 92123 | 2007-11-07 |
| 1114146636 | Marcy L Thornton | Nurse Practitioner | 7910 Frost Street, Suite 400, San Diego, CA 92123-2753 | 2007-04-24 |
| 1013035716 | Regents of The University of California | Pediatrics | 7910 Frost Street, Ste 350, San Diego, CA 92123-2771 | 2007-03-27 |
| 1811034143 | Richard S. Sacks | Internal Medicine | 7910 Frost Street, Suite 245, San Diego, CA 92123 | 2007-01-30 |
| 1861506495 | Lori Wan | Internal Medicine | 7910 Frost Street, Suite 350, San Diego, CA 92123 | 2006-08-19 |
| 1053334292 | Michelle Lynne Leff | Pediatrics | 7910 Frost Street, Suite 350, San Diego, CA 92123 | 2006-07-26 |
| 1336132331 | Charles F. Landers | Internal Medicine | 7910 Frost Street, Suite 245, San Diego, CA 92123 | 2005-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780187229 | Jesse Robles | Internal Medicine | 651 Sunnyside Ave, San Diego, CA 92114-4945 | 2018-03-12 |
| 1730333014 | Ashish Agrawal Md Inc | Internal Medicine | 4020 Eagle St, San Diego, CA 92103-1917 | 2008-11-12 |
| 1780797381 | Huan A. Le | Internal Medicine | 5507 El Cajon Blvd #c, San Diego, CA 92115 | 2006-08-16 |
| 1437170693 | Joseph Resnikoff, M.d., F.c.c.p. | Internal Medicine | 4033 3rd Ave Ste 300, San Diego, CA 92103-2138 | 2006-07-22 |
| 1659339745 | Smita A Desai | Internal Medicine | 200 W. Arbor Drive, #8373, San Diego, CA 92103-8373 | 2006-05-01 |
| 1598732604 | Houman Dahi | Internal Medicine | 501 Washington St Ste 508, San Diego, CA 92103-2231 | 2006-03-07 |
| 1427028927 | Tony S Han | Internal Medicine | 12373 Grandee Rd, San Diego, CA 92128-2161 | 2006-01-25 |
| 1841292521 | Chest Medicine and Critical Care Medical Group, Inc. | Internal Medicine | 7910 Frost Street, Suite 245, San Diego, CA 92123 | 2005-08-12 |
| 1447886239 | Lung and Sleep Medicine Consultants, Inc. | Internal Medicine | 6655 Alvarado Rd, San Diego, CA 92120-5208 | 2020-03-12 |
| 1699317644 | Avicenna Critical Care, PC | Internal Medicine | 1940 El Cajon Blvd, San Diego, CA 92104-1005 | 2019-10-10 |
| 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.