TAL DAVID (NPI# 1629092473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629092473 |
| Entity Type | Individual |
| Full Name | TAL DAVID |
| Other Name | TAL SAMUEL DAVID |
| Credential | M.D. |
| Practice Address |
4910 Directors Pl Ste 350 San Diego CA 92121-3834 |
| Mailing Address |
4445 Eastgate Mall Ste 105 San Diego CA 92121-1979 |
| Practice Telephone | 8585719500 |
| Practice Fax Number | 8584537314 |
| Mailing Telephone | 8584126080 |
| Mailing Fax Number | 8584126376 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-07-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
A69504 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE GROUP NUMBER | W17895 | 01 | |
| MEDICARE PROVIDER ID | WA69504C | 01 | |
| MEDICARE PTAN | W17895 | 01 |
| Street Address |
4910 DIRECTORS PL STE 350 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121-3834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548781727 | Kathleen Thornber | Specialist/Technologist, Other | 4910 Directors Pl Ste 350, San Diego, CA 92121-3834 | 2017-06-28 |
| 1225402746 | David Maimes | Physician Assistant | 4910 Directors Pl Ste 350, San Diego, CA 92121-3834 | 2015-11-20 |
| 1376838680 | John Grotting | Orthopaedic Surgery | 4910 Directors Pl Ste 350, San Diego, CA 92121-3834 | 2011-06-15 |
| 1740501907 | Christopher L Sherman Do - A Professional Medical Corporation | Orthopaedic Surgery | 4910 Directors Pl Ste 350, San Diego, CA 92121 | 2010-06-22 |
| 1639234826 | Christopher Louis Sherman | Orthopaedic Surgery | 4910 Directors Pl Ste 350, San Diego, CA 92121-3834 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
| 1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
| 1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
| 1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
| 1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
| 1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| Find all providers in zip 92121 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518997378 | John Charles Austin | Orthopaedic Surgery | 8901 Activity Rd Ste 205, San Diego, CA 92126-4436 | 2006-07-04 |
| 1982607867 | Jonathan J. Myer | Orthopaedic Surgery | 6719 Alvarado Rd, Ste 200, San Diego, CA 92120-5256 | 2005-05-24 |
| 1285939330 | Robert E. Berry, Do, PC | Orthopaedic Surgery | 5471 Kearny Villa Rd., Suite 200, San Diego, CA 92123-1143 | 2011-01-21 |
| 1104081363 | Adnan Cutuk | Orthopaedic Surgery | 3750 Convoy Street, Suite 116, San Diego, CA 92111-3739 | 2008-07-26 |
| 1548473945 | David Thomas Easley | Orthopaedic Surgery | 3444 Kearny Villa Rd, Suite 202, San Diego, CA 92123-1959 | 2007-05-08 |
| 1326184250 | David J. Chao Md, Inc | Orthopaedic Surgery | 8901 Activity Road, San Diego, CA 92126 | 2007-01-29 |
| 1851437792 | Tal David, Md, Inc | Orthopaedic Surgery | 5471 Kearny Villa Rd., Suite 200, San Diego, CA 92123-1143 | 2007-01-29 |
| 1407904584 | William Joseph Previte | Orthopaedic Surgery | 7525 Linda Vista Rd, Suite C, San Diego, CA 92111-5344 | 2007-01-08 |
| 1730290289 | David J Chao | Orthopaedic Surgery | 8901 Activity Rd, San Diego, CA 92126-4427 | 2006-08-31 |
| 1265543615 | Paul C Murphy | Orthopaedic Surgery | 5471 Kearny Villa Rd Ste 200, San Diego, CA 92123-1143 | 2006-08-31 |
| 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.