SAN DIEGO CARDIOVASCULAR ASSOCIATES MEDICAL GROUP INC (NPI# 1427069103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427069103 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO CARDIOVASCULAR ASSOCIATES MEDICAL GROUP INC |
| Practice Address |
320 Santa Fe Dr Suite 204 Encinitas CA 92024-5138 |
| Mailing Address |
Po Box 230757 Encinitas CA 92023-0757 |
| Practice Telephone | 7609447300 |
| Practice Fax Number | 7606333949 |
| Mailing Telephone | 7609447300 |
| Mailing Fax Number | 7606333949 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2010-04-20 |
| Authorized Official Name | DR. JOHN BACKMAN (OWNER) |
| Authorized Official Telephone | 7609447300 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0089260 | 05 |
| Street Address |
320 SANTA FE DR SUITE 204 |
| City | ENCINITAS |
| State | CA |
| Zip Code | 92024-5138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386642478 | Robert Lee Stephenson | Internal Medicine | 320 Santa Fe Dr, Suite 303, Encinitas, CA 92024-5138 | 2005-07-12 |
| 1427673722 | Ma. Kathleene Puno | Registered Nurse | 320 Santa Fe Dr, Encinitas, CA 92024-5138 | 2020-06-11 |
| 1376933887 | Comprehensive Surgical Associates Md PC | Surgery | 320 Santa Fe Dr, Suite 300, Encinitas, CA 92024-5138 | 2015-02-04 |
| 1144635582 | Integrated Dermatology of Encinitas, PC | Dermatology | 320 Santa Fe Dr, Suite 310, Encinitas, CA 92024-5138 | 2014-06-24 |
| 1225457328 | Gary D. Krueger, Dds, Apc | Dentist | 320 Santa Fe Dr, Suite 201, Encinitas, CA 92024-5138 | 2014-04-16 |
| 1891117941 | Encinitas Womens Health Inc. | Obstetrics & Gynecology | 320 Santa Fe Dr, Suite Ll4, Encinitas, CA 92024-5138 | 2014-01-09 |
| 1376971655 | Jamieson Glenn, Md, Inc. | Orthopaedic Surgery | 320 Santa Fe Dr, Suite 300, Encinitas, CA 92024-5140 | 2013-10-23 |
| 1770919052 | Timothy A. Peppers, M.d., Inc. | Orthopaedic Surgery | 320 Santa Fe Dr, Suite 300, Encinitas, CA 92024-5140 | 2013-09-19 |
| 1144653528 | Check Point Transition Clinic, Inc. | Internal Medicine | 320 Santa Fe Dr, Suite 308, Encinitas, CA 92024-5138 | 2013-08-20 |
| 1689019630 | Laraine Marie Lipori | Psychologist | 320 Santa Fe Dr, Suite 100, Encinitas, CA 92024-5138 | 2013-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688672 | Erika S Roark | Nurse Practitioner | 754 Bonita Drive, Encinitas, CA 92024 | 2020-01-14 |
| 1871064279 | Elana Miller | Physical Therapist | 285 N El Camino Real Ste 202, Encinitas, CA 92024 | 2018-12-10 |
| 1811478654 | Aton Center, Inc. | Substance Abuse Rehabilitation Facility | 3238 Country Rose Cir, Encinitas, CA 92024 | 2018-08-28 |
| 1124508296 | Hardison Medical Corporation | Family Medicine | 2210 Encinitas Blvd Ste N, Encinitas, CA 92024 | 2018-08-18 |
| 1326544990 | Jamin Sarah Sylvada | Midwife | 1141 Balour Drive, Encinitas, CA 92024 | 2018-04-03 |
| 1457856445 | Stephanie Yarnell | Optometrist | 385 Via Montanosa, Encinitas, CA 92024 | 2018-03-29 |
| 1972002954 | J Schaefer Dds Inc | Clinic/Center | 355 Santa Fe Drive Suite 100, Encinitas, CA 92024 | 2018-02-06 |
| 1538691654 | Dr. James C. Lajevic D.m.d. Correct Choice Dental | Point of Service | 199 N El Camino Real Blvd, Suite E, Encinitas, CA 92024 | 2017-03-29 |
| 1649720566 | Marcia A. Rebelo | Social Worker | 187 Calle Magdalena Ste 114, Encinitas, CA 92024 | 2016-10-04 |
| 1346698529 | Jordan Anne Pinozek | Optometrist | 1044b N El Camino Real, Encinitas, CA 92024 | 2016-05-29 |
| Find all providers in zip 92024 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1053353029 | Richard Michael Jacoby | Internal Medicine | 700 Garden View Ct Ste 204, Encinitas, CA 92024-2478 | 2006-06-12 |
| 1164420469 | Katherine J Ludington | Internal Medicine | 4401 Manchester Ave, Suite 103, Encinitas, CA 92024-4938 | 2005-07-11 |
| 1578904934 | Pingfeng Du, Md, Inc | Internal Medicine | 345 Saxony Rd, Suit 202, Encinitas, CA 92024-2787 | 2013-07-15 |
| 1295977122 | Damian R Rasch | Internal Medicine | 320 Santa Fe Dr, Suite 204, Encinitas, CA 92024-5138 | 2009-03-24 |
| 1033369947 | Batyrjan Bulibek | Internal Medicine | 320 Santa Fe Dr Ste 204, Encinitas, CA 92024-5179 | 2008-09-27 |
| 1912127358 | Patrick Martin Mcginty | Internal Medicine | 320 Santa Fe Dr, Suite 204, Encinitas, CA 92024-5138 | 2007-04-26 |
| 1144358987 | North Coast Cardiology, Inc. | Internal Medicine | 4401 Manchester Ave, Suite 103, Encinitas, CA 92024-4938 | 2007-03-02 |
| 1871655647 | Antone F Salel, Md, A Medical Corporation | Internal Medicine | 320 Santa Fe Dr, Suite 211, Encinitas, CA 92024-5138 | 2006-12-15 |
| 1497841795 | Salman Mehboob | Internal Medicine | 700 Garden View Ct Ste 204, Encinitas, CA 92024-2478 | 2006-10-05 |
| 1730127515 | Brian D. Carlos | Internal Medicine | 320 Santa Fe Dr, Suite 204, Encinitas, CA 92024-5138 | 2006-06-03 |
| Find all providers in ENCINITAS | ||||
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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.