DR. BRIAN T FAGAN (NPI# 1740308550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740308550 |
| Entity Type | Individual |
| Full Name | DR. BRIAN T FAGAN |
| Credential | M.D. |
| Practice Address |
3020 Childrens Way San Diego CA 92123-4223 |
| Mailing Address |
3020 Childrens Way Mc 5003 San Diego CA 92123-4223 |
| Practice Telephone | 8589665855 |
| Practice Fax Number | 8585717903 |
| Mailing Telephone | 8583096300 |
| Mailing Fax Number | 8583096301 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2014-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
A82153 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831430677 | Brian Fagan | Pharmacist | 14028 Highway 183, Austin, TX 78717 | 2013-03-04 |
| 1831280494 | Brian Michael Fagan | Radiology | Joliet Radiological Services Corp Provena St. Joesph Me, 333 N Madison St, Joliet, IL 60435 | 2006-09-27 |
| 1669013843 | Brian J Fagan | Counselor | 310 W Chicago Ave, Chicago, IL 60654-5106 | 2019-09-30 |
| 1881634210 | Brian D Fagan | Surgery | 373 W 101st Ter, Suite 210, Kansas City, MO 64114-4408 | 2006-06-07 |
| Street Address |
3020 CHILDRENS WAY |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-4223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225036627 | Raymond R Fripp | Pediatrics | 3020 Childrens Way, San Diego, CA 92123-4223 | 2005-07-09 |
| 1306443114 | Nilofar Mansoorgholamshahi | Social Worker | 3020 Childrens Way, San Diego, CA 92123-4223 | 2020-10-05 |
| 1245841824 | Farah Jadhavji | Student in an Organized Health Care Education/Training Program | 3020 Childrens Way, San Diego, CA 92123-4223 | 2020-08-16 |
| 1508476979 | Erik Cory Galvan | Social Worker | 3020 Childrens Way, San Diego, CA 92123-4223 | 2020-07-31 |
| 1932718624 | Julia Newton | Speech-Language Pathologist | 3020 Childrens Way, San Diego, CA 92123-4223 | 2020-07-28 |
| 1508484841 | Christian Cacho | Social Worker | 3020 Childrens Way, San Diego, CA 92123-4223 | 2020-07-13 |
| 1831714336 | Joyah Korin Brooks | Student in an Organized Health Care Education/Training Program | 3020 Childrens Way, San Diego, CA 92123-4223 | 2020-06-10 |
| 1821611195 | Rachel Chaya Lapidus | Student in an Organized Health Care Education/Training Program | 3020 Childrens Way, San Diego, CA 92123-4223 | 2020-05-21 |
| 1760005979 | Amani Dawn Piers | Student in an Organized Health Care Education/Training Program | 3020 Childrens Way, San Diego, CA 92123-4223 | 2020-05-21 |
| 1497375810 | Frank Lloyd Soriano Armas | Respiratory Therapist, Registered | 3020 Childrens Way, San Diego, CA 92123-4223 | 2020-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861474561 | James C Perry | Pediatrics | 8001 Frost St, Entrance 9, San Diego, CA 92123-2746 | 2005-11-17 |
| 1962974956 | Ian Fraser Golding | Pediatrics | 3020 Childrens Way, San Diego, CA 92123-4223 | 2019-01-01 |
| 1750891727 | Pediatric Cardiology of San Diego | Pediatrics | 2333 Camino Del Rio S Ste 340, San Diego, CA 92108-3615 | 2017-10-04 |
| 1174902548 | Nicholas Dreger | Pediatrics | 200 W Arbor Dr # Mc8829, San Diego, CA 92103-1911 | 2015-05-19 |
| 1902212459 | Charissa Rae Pockett | Pediatrics | 3020 Childrens Way # Mc5004, San Diego, CA 92123-4223 | 2014-07-05 |
| 1295042653 | Serena Pai-wen Sah | Pediatrics | 3020 Childrens Way, San Diego, CA 92123-4223 | 2010-09-08 |
| 1760707210 | Eleanor Lea Lehnert Schuchardt | Pediatrics | 3020 Childrens Way, San Diego, CA 92123 | 2010-03-27 |
| 1770723520 | Rakesh Singh | Pediatrics | 3020 Childrens Way, San Diego, CA 92123-4223 | 2009-03-05 |
| 1740445311 | Justin Chi-kang Yeh | Pediatrics | 3020 Childrens Way, San Diego, CA 92123-4223 | 2008-07-23 |
| 1487821815 | Rachel Mccandless | Pediatrics | 3020 Childrens Way, San Diego, CA 92123-4223 | 2008-05-14 |
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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.