DR. ANDREW R DEEMER (NPI# 1578568432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578568432 |
Entity Type | Individual |
Full Name | DR. ANDREW R DEEMER |
Credential | MD |
Practice Address |
3998 Vista Way Ste C200 Oceanside CA 92056-4519 |
Practice Telephone | 7607245352 |
Practice Fax Number | 7607245447 |
Mailing Telephone | 7607245352 |
Mailing Fax Number | 7607245447 |
Enumeration Date | 2005-06-16 |
Last Update Date | 2013-11-12 |
NPI Deactivation Date | 03/20/2006 |
NPI Reactivation Date | 2006-03-24 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
G66191 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00G661910 | 05 |
Street Address |
3998 VISTA WAY STE C200 |
City | OCEANSIDE |
State | CA |
Zip Code | 92056-4519 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891797023 | Mohammad Jamshidi-nezhad | Surgery | 3998 Vista Way, Suite 200, Oceanside, CA 92056-4500 | 2005-06-01 |
1265099295 | Michael L Bonilla | Counselor | 3998 Vista Way, E, Oceanside, CA 92056 | 2019-05-24 |
1134696727 | Melissa Marie Morris | Nurse Practitioner | 3998 Vista Way, Oceanside, CA 92056-4500 | 2018-11-01 |
1023551256 | Christina Nguyen Liu | Registered Nurse | 3998 Vista Way, Oceanside, CA 92056-4500 | 2016-11-19 |
1477929974 | Talal R. Muhtaseb M.d. Inc | Obstetrics & Gynecology | 3998 Vista Way, Suite C, Oceanside, CA 92056 | 2015-08-19 |
1801287214 | North Coast Plastic Surgery, Inc. | Plastic Surgery | 3998 Vista Way, Suite A, Oceanside, CA 92056-4500 | 2015-02-08 |
1053718460 | Radiance Ob-gyn | Obstetrics & Gynecology | 3998 Vista Way, Suite C, Oceanside, CA 92056-4500 | 2014-12-01 |
1457624595 | Adam S. Fierer Md, Inc. | Surgery | 3998 Vista Way, Suite C-200, Oceanside, CA 92056-4500 | 2012-02-21 |
1982991030 | Christopher N Crespo | Physician Assistant | 3998 Vista Way, C200, Oceanside, CA 92056-4500 | 2011-07-08 |
1578892667 | Robert A Ring | Optometrist | 3998 Vista Way, Oceanside, CA 92056-4500 | 2009-12-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174148639 | Universal Health Net San Diego | Hospice Care, Community Based | 4155 Oceanside Blvd, Suite 240, Oceanside, CA 92056 | 2020-06-10 |
1750913216 | Jared Pomerenke | Counselor | 3923 Warning Rd., Suite D, Oceanside, CA 92056 | 2020-02-12 |
1700424728 | Donna Jean Trapolino | Dental Hygienist | Bldg414006 Nelson Rd, Camp Pendleton, CA 92056 | 2019-12-20 |
1679122717 | David King Ping | Registered Nurse | 3609 Ocean Ranch Blvd Street 104, Oceanside, CA 92056 | 2019-09-11 |
1396254058 | Alison Schurman | Nurse Practitioner | 200 Mercy Circle Dr, Department of Pediatrics, Oceanside, CA 92056 | 2017-09-26 |
1407212665 | Yolanda Orozco Gaeta | Marriage & Family Therapist | 3923 Waring Road Ste D, North Coastal Treatment Recovery Center, Oceanside, CA 92056 | 2016-01-04 |
1871982751 | Wael Wassef | Pharmacist | 4755 Oceanside Blvd Ste 130, Oceanside, CA 92056 | 2015-01-15 |
1639501869 | William Stacy Parks | Family Medicine | 2376 Back Nine St., Oceanside, CA 92056 | 2013-07-30 |
1760725766 | Great Expectations Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4825 Glenhaven Drive, Oceanside, CA 92056 | 2013-03-28 |
1649533993 | Justin Bowles | Family Medicine | 1761 Avenida Segovia, Oceanside, CA 92056 | 2012-06-21 |
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Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932104890 | John M Kroener | Surgery | 3601 Vista Way Ste 203, Oceanside, CA 92056-4559 | 2005-06-16 |
1891797023 | Mohammad Jamshidi-nezhad | Surgery | 3998 Vista Way, Suite 200, Oceanside, CA 92056-4500 | 2005-06-01 |
1841809886 | Rizvi Surgical Care Pllc | Surgery | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-07-27 |
1760004022 | Vascular Care LLC | Surgery | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-05-09 |
1255643276 | Charles Sticco | Surgery | 1 Healthy Way, Oceanside, NY 11572-1551 | 2010-07-07 |
1740285618 | Eileen S Natuzzi | Surgery | 3998 Vista Way, Ste C200, Oceanside, CA 92056-4519 | 2005-06-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881213817 | Robert Morton Carroll X | Surgery | 2241 Century Hl, Los Angeles, CA 90067-3506 | 2020-04-09 |
1992341895 | Surgicalist of Ca PC | Surgery | 3300 E South St Ste 301a, Lakewood, CA 90805-4549 | 2019-11-26 |
1528600558 | Kevin M Casey Md Apmc | Surgery | 1919 State St # 204-206, Santa Barbara, CA 93101-2430 | 2019-10-10 |
1487117594 | John Nastasi | Surgery | 100 W Valencia Mesa Dr # 211, Fullerton, CA 92835-3768 | 2019-04-08 |
1225508385 | Jay Labourene | Surgery | 1550 G Tiburon Blvd, Tiburon, CA 94920-2531 | 2018-12-03 |
1467922120 | Paul Bressman Md Inc | Surgery | 1493 S Crest Dr, Los Angeles, CA 90035-3339 | 2018-11-26 |
1437638517 | Thousand Oaks Vein Clinic PC | Surgery | 225 N Moorpark Rd Ste C, Thousand Oaks, CA 91360-4320 | 2018-08-09 |
1881186377 | Lavs Access Center Inc. | Surgery | 620 W Beverly Blvd Ste B, Montebello, CA 90640-3624 | 2018-05-31 |
1841789328 | Sunil Rayan, M.d., Inc. | Surgery | 320 Santa Fe Dr Ste 212, Encinitas, CA 92024-5139 | 2018-05-09 |
1245739820 | Northridge Vascular Center A Professional Medical Corporation | Surgery | 19331 Business Center Dr Ste 102, Northridge, CA 91324-3533 | 2018-02-08 |
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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.