JAMES W. COSTELLO (NPI# 1760498901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760498901 |
| Entity Type | Individual |
| Full Name | JAMES W. COSTELLO |
| Credential | M.D. |
| Practice Address |
3626 Ruffin Rd San Diego CA 92123-1810 |
| Practice Telephone | 8585659666 |
| Practice Fax Number | 8585659441 |
| Mailing Telephone | 8585659666 |
| Mailing Fax Number | 8585659441 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | A72673 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD OF CA | 00A726730 | 01 |
| CA | 00A726730 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881021723 | James Costello | Durable Medical Equipment & Medical Supplies | 110 Adams St, Saratoga Springs, NY 12866-5002 | 2013-10-10 |
| 1457600041 | James Paul Costello | Dentist | 862 Shellbark Way, The Villages, FL 32162-4075 | 2012-08-29 |
| 1811190515 | James Costello | Chiropractor | 4615 I- 45 North Freeway Ste#208, Houston, TX 77022 | 2007-06-08 |
| 1144733981 | James Jay Costello | Counselor | 1 Kellogg Cir, Emporia, KS 66801-5415 | 2017-11-15 |
| 1033649959 | James Costello | Student in an Organized Health Care Education/Training Program | 18 E Laurel Road, Stratford, NJ 08084 | 2017-06-13 |
| 1851711717 | James Michael Costello | Registered Nurse | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2014-04-18 |
| 1215115233 | James Robert Costello | Radiology | 770 Pine St, Suite 290, Macon, GA 31201-2173 | 2008-01-31 |
| 1740386887 | James Patrick Costello | Optometrist | 3217 Lake Ave, Wilmette, IL 60091-1080 | 2006-09-16 |
| 1801883236 | James Costello | Pediatrics | 4120 Prescott Rd, Modesto, CA 95356-8418 | 2005-09-30 |
| Street Address |
3626 RUFFIN RD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538151543 | Paul Cattafi | Anesthesiology | 3626 Ruffin Rd, San Diego, CA 92123 | 2005-08-16 |
| 1083069629 | Dianne Bach | Anesthesiology | 3626 Ruffin Rd, San Diego, CA 92123-1810 | 2016-05-02 |
| 1689037632 | Thu Nguyen | Anesthesiology | 3626 Ruffin Rd, San Diego, CA 92123-1810 | 2016-03-29 |
| 1740642776 | Riley Andrew Garrett | Anesthesiology | 3626 Ruffin Rd, San Diego, CA 92123-1810 | 2016-03-29 |
| 1962864975 | Stephen Shumpert | Anesthesiology | 3626 Ruffin Rd, San Diego, CA 92123-1810 | 2016-03-28 |
| 1578925756 | Harrison To | Anesthesiology | 3626 Ruffin Rd, San Diego, CA 92123-1810 | 2016-03-25 |
| 1306208095 | Chirag Desai | Anesthesiology | 3626 Ruffin Rd, San Diego, CA 92123-1810 | 2016-03-22 |
| 1710344452 | Sona Doshi | Anesthesiology | 3626 Ruffin Rd, San Diego, CA 92123-1810 | 2016-01-26 |
| 1205214723 | Liora Yehushua | Anesthesiology | 3626 Ruffin Rd, San Diego, CA 92123-1810 | 2015-05-16 |
| 1396132452 | Alex Taborek | Anesthesiology | 3626 Ruffin Rd, San Diego, CA 92123-1810 | 2015-04-16 |
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| 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 |
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| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154815264 | Innovative Anesthesia Consultants PC | Anesthesiology | 8525 Gibbs Dr Ste 208, San Diego, CA 92123-1765 | 2018-06-21 |
| 1720575103 | S Michael Millbern Md Medical Corporation | Anesthesiology | 8929 University Center Ln Ste 103, San Diego, CA 92122-1007 | 2018-04-20 |
| 1073979324 | Michael Patrick Keating | Anesthesiology | 4734 Panorama Dr, San Diego, CA 92116-1239 | 2016-01-01 |
| 1679956031 | George Zhu | Anesthesiology | 15134 Cross Stone Dr, San Diego, CA 92127-4449 | 2015-07-02 |
| 1902283443 | Thomas Onyia | Anesthesiology | 200 W Arbor Dr # Mc8770, San Diego, CA 92103-1911 | 2015-05-05 |
| 1063807154 | Peter Wingfield | Anesthesiology | Uc San Diego Health - Anesthesiology, 200 West Arbor Drive, Mc 8770, San Diego, CA 92103 | 2015-04-06 |
| 1508290586 | Jason Alan Kanel | Anesthesiology | 3626 Ruffin Rd # 604, San Diego, CA 92123-1810 | 2013-08-27 |
| 1104259183 | Rajesh Reddy | Anesthesiology | 200 W Arbor Dr # 801, Ucsd Dept of Anesthesiology, San Diego, CA 92103-1911 | 2013-08-14 |
| 1467795682 | Vinod Krishnan Singaram | Anesthesiology | 200 W Arbor Dr # Mc8829, San Diego, CA 92103-1911 | 2013-04-05 |
| 1013259571 | Rosemarie Marshall Johnson | Anesthesiology | 2919 Brant St, San Diego, CA 92103-5529 | 2013-03-22 |
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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.