DR. DOMINICK ADDARIO (NPI# 1649496092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649496092 |
Entity Type | Individual |
Full Name | DR. DOMINICK ADDARIO |
Credential | M.D. |
Practice Address |
3010 1st Ave San Diego CA 92103-5816 |
Practice Telephone | 6192952189 |
Practice Fax Number | 6192952362 |
Mailing Telephone | 6192952189 |
Mailing Fax Number | 6192952362 |
Enumeration Date | 2007-04-17 |
Last Update Date | 2011-02-16 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
G21620 | CA | Allopathic & Osteopathic Physicians |
Street Address |
3010 1ST AVE |
City | SAN DIEGO |
State | CA |
Zip Code | 92103-5816 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225191034 | Justin A Lapilusa | Psychologist | 3010 1st Ave, San Diego, CA 92103-5816 | 2006-12-19 |
1235411042 | Stephen M Pfeiffer | Psychologist | 3010 1st Ave, San Diego, CA 92103-5816 | 2011-09-16 |
1346565082 | Dominick Addario Md Apc | Psychiatry & Neurology | 3010 1st Ave, San Diego, CA 92103-5816 | 2010-04-06 |
1174703904 | Ernest V. De Guzman, M.d., A Professional Corporation | Community/Behavioral Health | 3010 1st Ave, San Diego, CA 92103-5816 | 2007-11-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
Find all providers in zip 92103 |
Taxonomy Code | 2084F0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Forensic Psychiatry |
Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235362237 | Eric Henry Marcus | Psychiatry & Neurology | 2648 W Canyon Ave, San Diego, CA 92123-4684 | 2009-08-25 |
1093918807 | Yufang Jennifer Chang | Psychiatry & Neurology | 302 Washington St # 946, San Diego, CA 92103-2110 | 2007-06-08 |
1225139314 | Matthew Carroll | Psychiatry & Neurology | 3131 Camino Del Rio N Ste 270, San Diego, CA 92108-5703 | 2006-09-25 |
1558467118 | Benjamin Bensoul | Psychiatry & Neurology | 981 Manor Way, San Diego, CA 92106-2035 | 2006-09-14 |
1265458087 | David Naimark | Psychiatry & Neurology | 220 W Broadway, #1003, San Diego, CA 92101-3886 | 2006-07-14 |
1801811104 | Raphael Adam Morris | Psychiatry & Neurology | 4550 Kearny Villa Rd Ste 116, San Diego, CA 92123-1583 | 2006-07-13 |
1841440419 | Jason R. Kornberg, M.d., A Professional Corporation | Psychiatry & Neurology | 591 Camino De La Reina, Suite #820, San Diego, CA 92108-3102 | 2008-09-19 |
1770764326 | Alexander C Green | Psychiatry & Neurology | 12520 High Bluff Dr, Ste 375, San Diego, CA 92130 | 2007-11-23 |
1154443786 | J. Brand Brickman | Psychiatry & Neurology | 2477 Congress St, San Diego, CA 92110-2820 | 2007-04-04 |
1073685764 | Jason R. Kornberg | Psychiatry & Neurology | 591 Camino De La Reina, Suite #820, San Diego, CA 92108-3102 | 2006-11-15 |
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.