EDWARD C FEDERMAN MD INC (NPI# 1457450553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457450553 |
| Entity Type | Organization |
| Organization Name | EDWARD C FEDERMAN MD INC |
| Practice Address |
6699 Alvarado Rd Suite 2308 San Diego CA 92120-5241 |
| Practice Telephone | 6194629010 |
| Practice Fax Number | 6192879058 |
| Mailing Telephone | 6194629010 |
| Mailing Fax Number | 6192879058 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | EDWARD CHARLES FEDERMAN (PRESIDENT) |
| Authorized Official Telephone | 6194629010 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| X | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G602830 | 05 |
| Street Address |
6699 ALVARADO RD SUITE 2308 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120-5241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598768327 | Theodore M. Mazer | Otolaryngology | 6699 Alvarado Rd, Ste 2209, San Diego, CA 92120-5240 | 2005-05-24 |
| 1144777590 | Oleg M. Gavrilyuk, M.d., PC | Physical Medicine & Rehabilitation | 6699 Alvarado Rd, #2302, San Diego, CA 92120-5244 | 2016-09-01 |
| 1790179539 | Regents of The University of California | Family Medicine | 6699 Alvarado Rd, Suite 2100, San Diego, CA 92120-5244 | 2015-03-18 |
| 1013356005 | Joseph Vincent Mahon | Physical Therapist | 6699 Alvarado Rd, Suite 2100, San Diego, CA 92120-5244 | 2013-06-23 |
| 1225384308 | Ashley Deppe | Dietitian, Registered | 6699 Alvarado Rd, 2100, San Diego, CA 92120-5244 | 2012-07-26 |
| 1770850406 | Institute of Healthcare Assessment, Inc. | Specialist | 6699 Alvarado Rd, Suite 2309, San Diego, CA 92120-5238 | 2011-11-23 |
| 1386922904 | Alexandra Reed Myers | Family Medicine | 6699 Alvarado Rd, Suite 2100, San Diego, CA 92120-5244 | 2011-07-31 |
| 1114222155 | Sumana & Ananthram Reddy Md Inc | Allergy & Immunology | 6699 Alvarado Rd, Suite 2301, San Diego, CA 92120-5238 | 2011-01-24 |
| 1750615324 | Sperm Bank, Inc | Clinical Medical Laboratory | 6699 Alvarado Rd, Ste 2208, San Diego, CA 92120-5238 | 2009-09-29 |
| 1902051311 | Bernard J. Urlaub, Md, Inc | Surgery | 6699 Alvarado Rd, Ste. 2210, San Diego, CA 92120-5238 | 2008-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
| 1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
| 1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
| 1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
| 1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
| 1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
| 1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
| 1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
| Find all providers in zip 92120 | ||||
| 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.