SPECIALTY OBSTETRICS OF SAN DIEGO (NPI# 1447583570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447583570 |
| Entity Type | Organization |
| Organization Name | SPECIALTY OBSTETRICS OF SAN DIEGO |
| Practice Address |
12264 El Camino Real Suite 204 San Diego CA 92130-3058 |
| Practice Telephone | 8587947700 |
| Practice Fax Number | 8587947744 |
| Mailing Telephone | 8587947700 |
| Mailing Fax Number | 8587947744 |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2011-07-06 |
| Authorized Official Name | DR. DEBORAH C MALONE JR. (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8587947700 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
G47611 | CA | Allopathic & Osteopathic Physicians |
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
G80714 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063872588 | Specialty Obstetrics of San Diego | Clinic/Center | 12264 El Camino Real, Suite 204, San Diego, CA 92130-3058 | 2016-02-25 |
| Street Address |
12264 EL CAMINO REAL SUITE 204 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92130-3058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598753899 | Michael Rintala | Chiropractor | 12264 El Camino Real, Suite #108, San Diego, CA 92130-3058 | 2005-10-11 |
| 1700326451 | Milligan Chiropractic Group Inc | Chiropractor | 12264 El Camino Real, Suite 108, San Diego, CA 92130-3060 | 2017-02-28 |
| 1538515358 | Tera Kates | Nurse Practitioner | 12264 El Camino Real, San Diego, CA 92130-3058 | 2016-05-11 |
| 1063872588 | Specialty Obstetrics of San Diego | Clinic/Center | 12264 El Camino Real, Suite 204, San Diego, CA 92130-3058 | 2016-02-25 |
| 1386000347 | Julie Chris Crockett | Social Worker | 12264 El Camino Real, San Diego, CA 92130-3058 | 2016-01-06 |
| 1457788838 | Del Mar Medical Imaging Inc | Clinic/Center | 12264 El Camino Real, 102, San Diego, CA 92130-3058 | 2013-10-01 |
| 1063846012 | Delmar Medical Imaging Inc | Clinic/Center | 12264 El Camino Real, San Diego, CA 92130-3058 | 2013-08-27 |
| 1033461348 | Atherton L Sorrenti | Chiropractor | 12264 El Camino Real, Suite 108, San Diego, CA 92130-3060 | 2012-10-10 |
| 1831450139 | Matthew F. Geromi | Psychiatry & Neurology | 12264 El Camino Real, Suite 203, San Diego, CA 92130-3058 | 2012-06-04 |
| 1780998005 | Coastal Medical Group Inc | Surgery | 12264 El Camino Real, Suite 101, San Diego, CA 92130-3058 | 2010-07-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629692397 | Tlc Family Therapy | Marriage & Family Therapist | 5965 Village Way. Suite 105 #112, San Diego, CA 92130 | 2020-05-29 |
| 1447746169 | Jack Perlov | Psychiatry & Neurology | 3535 Caminito El Rincon, Unit 268, San Diego, CA 92130 | 2018-07-05 |
| 1326551003 | Theotokos, LLC | Pharmacy | 5550 Carmel Mountain Rd Ste 111, San Diego, CA 92130 | 2017-11-16 |
| 1154879146 | Halie Hommes | Occupational Therapist | 12250 El Camino Real Ste 250, San Diego, CA 92130 | 2016-09-19 |
| 1790232015 | Coastal Skin and Eye Institute, Inc. | Ophthalmology | 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 | 2016-09-02 |
| 1720534951 | Nosti and Rygg Dental Corporation | Dentist | 5550 Carmel Mountain Road, Ste 200, San Diego, CA 92130 | 2016-08-28 |
| 1831644053 | Marco Savittieri | Dentist | 3715 Ruette De Vl, San Diego, CA 92130 | 2016-08-17 |
| 1336508621 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 11455 Camino Real, Ste 360, San Diego, CA 92130 | 2016-02-16 |
| 1427434679 | Coast Pediatrics Carmel Valley | Pediatrics | 5965 Village Drive, Suite 201, San Diego, CA 92130 | 2015-08-10 |
| 1659753762 | T Sidal Dds Md Inc | Dentist | 12395 El Camino Real, Suite 304, Torrey Pines Oral & Maxillofacial Surgery, San Diego, CA 92130 | 2015-06-25 |
| Find all providers in zip 92130 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972673879 | Jennifer Ahn | Obstetrics & Gynecology | 12264 El Camino Real Ste 204, San Diego, CA 92130-3061 | 2006-11-08 |
| 1124413026 | Dora Melber | Obstetrics & Gynecology | 200 W Arbor Dr, Mailcode 8433, San Diego, CA 92103-9000 | 2015-03-30 |
| 1669745261 | Arin Marie Buresch | Obstetrics & Gynecology | 4647 Zion Ave, San Diego, CA 92120-2507 | 2012-02-14 |
| 1245469865 | Perinatology Associates of San Diego, Inc | Obstetrics & Gynecology | 8010 Frost Street, Suite 300, San Diego, CA 92123 | 2009-07-02 |
| 1912159674 | Erica Kristen Berggren | Obstetrics & Gynecology | 12264 El Camino Real Ste 204, San Diego, CA 92130-3061 | 2008-10-14 |
| 1871767384 | Jerasimos Ballas | Obstetrics & Gynecology | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2008-04-15 |
| 1841495595 | Hilary Alpert Roeder | Obstetrics & Gynecology | 4647 Zion Ave, San Diego, CA 92120-2507 | 2007-06-20 |
| 1992847131 | Kristin M. Williams | Obstetrics & Gynecology | 7910 Frost St, Suite # 140, San Diego, CA 92123-2771 | 2007-02-13 |
| 1336203496 | Thomas F Kelly | Obstetrics & Gynecology | 200 West Arbor Drive, Mc 8433, San Diego, CA 92103-8433 | 2006-12-21 |
| 1710041736 | Gladys A Ramos | Obstetrics & Gynecology | 200 West Arbor Drive, Mc 8434, San Diego, CA 92103-8434 | 2006-12-21 |
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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.