DR. JOHN E. FELLOW (NPI# 1497857460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497857460 |
| Entity Type | Individual |
| Full Name | DR. JOHN E. FELLOW |
| Credential | M.D. |
| Practice Address |
15025 Innovation Dr San Diego CA 92128-3409 |
| Mailing Address |
54433 File Los Angeles CA 90074-0001 |
| Practice Telephone | 8586057960 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2009-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
G60559 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G605590 | 05 |
| Street Address |
15025 INNOVATION DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92128-3409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649240722 | Mark Edward Gallegos | Physician Assistant | 15025 Innovation Dr, San Diego, CA 92128-3409 | 2006-01-23 |
| 1891896569 | Mark B. Kuhse | Emergency Medicine | 15025 Innovation Dr, San Diego, CA 92128-3409 | 2006-09-26 |
| 1962504431 | Ronald G. Salzetti | Obstetrics & Gynecology | 15025 Innovation Dr, San Diego, CA 92128-3409 | 2006-09-03 |
| 1407958978 | Danielle P. Twyman | Physician Assistant | 15025 Innovation Dr, San Diego, CA 92128-3409 | 2006-09-03 |
| 1225130792 | Marcelline K. Welsh | Pediatrics | 15025 Innovation Dr, San Diego, CA 92128-3409 | 2006-09-03 |
| 1033211685 | Julian J. Nicholas | Internal Medicine | 15025 Innovation Dr, San Diego, CA 92128-3409 | 2006-09-03 |
| 1275635831 | Michael J. Rundell | Emergency Medicine | 15025 Innovation Dr, San Diego, CA 92128-3409 | 2006-09-03 |
| 1477655082 | Margaret A. Drehobl | Family Medicine | 15025 Innovation Dr, San Diego, CA 92128-3409 | 2006-09-03 |
| 1346342995 | Clifford G. Feaver | Podiatrist | 15025 Innovation Dr, San Diego, CA 92128-3409 | 2006-09-03 |
| 1518069160 | Kimberly A. Longmire | Emergency Medicine | 15025 Innovation Dr, San Diego, CA 92128-3409 | 2006-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
| 1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
| 1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
| 1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
| 1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
| 1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
| 1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
| Find all providers in zip 92128 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699015529 | Andrew Saleh | Family Medicine | 1370 Rosecrans St Ste A, San Diego, CA 92106-2676 | 2013-03-01 |
| 1487913588 | James Toldi | Family Medicine | 4010 Sorrento Valley Blvd Ste 300, San Diego, CA 92121-1433 | 2012-05-09 |
| 1881798221 | Frederick Allen Richburg II | Family Medicine | 4010 Sorrento Valley Blvd, Suite 300, San Diego, CA 92121-1432 | 2006-09-07 |
| 1346351665 | Stephen M Daquino | Family Medicine | 16445 Bernardo Center Dr, San Diego, CA 92128-2523 | 2006-08-31 |
| 1093821639 | Robert Arnold Baker | Family Medicine | 1820 Washington Pl, San Diego, CA 92103-2723 | 2006-08-23 |
| 1437172533 | Kenneth L. Anderson IIi | Family Medicine | 1945 Garnet Ave, San Diego, CA 92109-3595 | 2006-07-26 |
| 1417936295 | Joseph Lee Moore | Family Medicine | 975 Garnet Ave, San Diego, CA 92109-2729 | 2006-01-11 |
| 1154313971 | Kelly Dean Skanchy | Family Medicine | 2450 Craven St Bldg 3300, Naval Health Clinic Naval Station San Diego, San Diego, CA 92136-5599 | 2005-08-18 |
| 1376106849 | Joseph E Allen Md Inc | Family Medicine | 4116 W Point Loma Blvd, San Diego, CA 92110-5605 | 2019-04-19 |
| 1215382841 | Alex Bernadett | Family Medicine | 4010 Sorrento Valley Blvd Ste 300, San Diego, CA 92121-1433 | 2016-05-02 |
| 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.