DR. MOHAMED BIDAIR (NPI# 1598758203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598758203 |
| Entity Type | Individual |
| Full Name | DR. MOHAMED BIDAIR |
| Credential | M.D. |
| Practice Address |
5555 Reservoir Dr Suite 309 San Diego CA 92120-5115 |
| Practice Telephone | 6192292626 |
| Practice Fax Number | 6192865412 |
| Mailing Telephone | 6192292626 |
| Mailing Fax Number | 6192865412 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2019-01-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | G67528 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | OOG67528 | 05 |
| Street Address |
5555 RESERVOIR DR SUITE 309 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120-5115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679627236 | Alvarado La Mesa Urology Medical Group, Inc. | Urology | 5555 Reservoir Dr Suite 309, San Diego, CA 92120-5115 | 2007-01-22 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043746068 | Robert David Fisher | Urology | 2930 Barnard St Unit 9203, San Diego, CA 92110-5765 | 2017-05-11 |
| 1437505559 | Devin Nitin Patel | Urology | 200 W Arbor Dr # Mc7897, San Diego, CA 92103-1911 | 2016-05-07 |
| 1861747396 | Marc Holden | Urology | 4060 4th Ave Ste 310, San Diego, CA 92103-2120 | 2012-07-20 |
| 1689837908 | Frederick Michael Busch | Urology | 2926 Kellogg St, # B-19, San Diego, CA 92106-3555 | 2008-07-07 |
| 1023130630 | Youngkyu Peter Sheen | Urology | 5138 Sea Mist Court, San Diego, CA 92121-4227 | 2007-04-04 |
| 1174609127 | Manoj Monga | Urology | Regents of The University of Ca - Ucsd Medical Group, 200 W. Arbor Drive, San Diego, CA 92103-9000 | 2006-10-31 |
| 1801996939 | Male Fertility & Sexual Medicine Specialists | Urology | 6699 Alvarado Rd Ste 2207, San Diego, CA 92120-5240 | 2006-09-25 |
| 1700994357 | Robert Harrison Masters | Urology | 3405 Kenyon St Ste 504, San Diego, CA 92110-5008 | 2006-08-25 |
| 1952330052 | Joel Larralde | Urology | 3914 Murphy Canyon Rd, Suite# A206, San Diego, CA 92123-4491 | 2006-07-01 |
| 1740223619 | Kyoko Sakamoto | Urology | 3350 La Jolla Village Drive, Mail Code 9112f, San Diego, CA 92161-0002 | 2006-06-14 |
| 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.