DR. JOHN FRANK SCAVULLI (NPI# 1770665085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770665085 |
| Entity Type | Individual |
| Full Name | DR. JOHN FRANK SCAVULLI |
| Credential | MD |
| Practice Address |
3033 Bunker Hill St Department of Rheumatology Kaiser Permanente San Diego CA 92109-5705 |
| Mailing Address |
393 E Walnut St Provider Enrollment Unit 3rd Floor Pasadena CA 91188-0001 |
| Practice Telephone | 8585818230 |
| Practice Fax Number | 8585818244 |
| Mailing Telephone | 6264056340 |
| Mailing Fax Number | 6264056768 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2016-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | G21252 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
G21252 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G212520 | 05 |
| Street Address |
3033 BUNKER HILL ST DEPARTMENT OF RHEUMATOLOGY KAISER PERMANENTE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92109-5705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598872319 | Philomena Thomas Kaliangara | Nurse Practitioner | 3033 Bunker Hill St, 3rd Floor, San Diego, CA 92109-5705 | 2006-08-25 |
| 1164580338 | Sarah Lynn Schuler Mcnew | Physical Medicine & Rehabilitation | 3033 Bunker Hill St, San Diego, CA 92109-5705 | 2006-12-04 |
| 1669550257 | Jose Javier Canales | Internal Medicine | 3033 Bunker Hill St, San Diego, CA 92109-5705 | 2006-11-01 |
| 1619054236 | Patricia Shen Chi Wu | Internal Medicine | 3033 Bunker Hill St, Kaiser Endocirnology Clinic, San Diego, CA 92109-5705 | 2006-11-01 |
| 1285720227 | Firooezh Motamedi | Internal Medicine | 3033 Bunker Hill St, Suite 310, San Diego, CA 92109-5705 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538620786 | San Diego Forensic Psychology Corporation | Psychologist | 4640 Cass Street, # 90422, San Diego, CA 92109 | 2019-03-29 |
| 1982113874 | Holly Mansur | Registered Nurse | 3663 Jewell Street, San Diego, CA 92109 | 2017-09-24 |
| 1669906178 | Kelley Ann Riley | Prevention Professional | 4328 Gresham St, San Diego, CA 92109 | 2017-04-12 |
| 1689113524 | Tyler Marquis | Pharmacist | 2636 Grand Avenue Apartment 326, San Diego, CA 92109 | 2017-02-13 |
| 1912372574 | Lonnie Butler | Doula | 841 Turquoise Street, F-405, San Diego, CA 92109 | 2015-12-08 |
| 1275924995 | Pratima S. Gowdar, Dds, Inc | Dentist | 4655 Cass St. Ste 104, San Diego, CA 92109 | 2015-02-17 |
| 1417388562 | Pacific Rim Pathology Medical Corporation | Clinical Medical Laboratory | 3030 Bunker Hill Street, Suite 201, San Diego, CA 92109 | 2013-11-27 |
| 1023379997 | Eric Berquist | Student in an Organized Health Care Education/Training Program | 2009 Reed Ave, San Diego, CA 92109 | 2012-06-06 |
| 1982996724 | Miramar Health Physicians Group | Acupuncturist | 1321 Garnet Avenue, San Diego, CA 92109 | 2011-05-12 |
| 1902109325 | Anna N Amagou | Behavioral Analyst | 2221 Felspar Street Apt #c, San Diego, CA 92109 | 2010-12-07 |
| Find all providers in zip 92109 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538799309 | Ajay Nirula | Internal Medicine | 5171 Meadows Del Mar, San Diego, CA 92130-4855 | 2020-01-21 |
| 1659842532 | Harry Edward Gruber | Internal Medicine | 4511 Rancho Del Mar Trl, San Diego, CA 92130-5207 | 2018-12-17 |
| 1447791181 | Ross Stephen Howard | Internal Medicine | 936 Harbor View Dr, San Diego, CA 92106-2438 | 2017-03-14 |
| 1316213705 | Megan Therese Lynch | Internal Medicine | 3881 Valley Centre Dr Ste 4d, San Diego, CA 92130-2332 | 2012-03-29 |
| 1164717740 | Jason James Weiner | Internal Medicine | Dept of Internal Medicine, Division of Rheumatology, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2011-06-13 |
| 1740588235 | Robert Tilden Reid Jr. | Internal Medicine | 8716 Production Ave, San Diego, CA 92121-2297 | 2011-03-07 |
| 1346276540 | Justina Jennan Tseng | Internal Medicine | 4725 Market St, San Diego, CA 92102-4715 | 2006-06-23 |
| 1639136344 | Natasha Siddiqui Conley | Internal Medicine | 3033 Bunker Hill Drive, Kaiser Permanente, San Diego, CA 92109 | 2006-04-27 |
| 1033181490 | Shauna Frances O'sullivan | Internal Medicine | 3400 Bob Wilson Dr, Nmcsd Suite 300, San Diego, CA 92134-3300 | 2006-02-01 |
| 1154965093 | Morrison Multi-specialties Companies Inc | Internal Medicine | 3633 Camino Del Rio S, San Diego, CA 92108-4011 | 2019-11-04 |
| 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.