SAN DIEGO ONCOLOGY MEDICAL CLINIC (NPI# 1871844522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871844522 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO ONCOLOGY MEDICAL CLINIC |
| Practice Address |
7930 Frost St Ste 405 San Diego CA 92123-2737 |
| Practice Telephone | 8585712811 |
| Practice Fax Number | 8585712814 |
| Mailing Telephone | 8585712811 |
| Mailing Fax Number | 8585712814 |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-21 |
| Authorized Official Name | SEUNG YIL THOMAS SONG (OWNER) |
| Authorized Official Telephone | 8585712811 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Street Address |
7930 FROST ST STE 405 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-2737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174517486 | Shay Brannan | Dentist | 7930 Frost St, Ste 101, San Diego, CA 92123-2737 | 2005-09-01 |
| 1073887667 | Poiset Dental Group, Apc | Dentist | 7930 Frost St, Suite 101, San Diego, CA 92123-2737 | 2012-02-29 |
| 1124306261 | Tracy Cole Hagan | Dentist | 7930 Frost St, Suite 101, San Diego, CA 92123-2737 | 2011-07-22 |
| 1982903324 | Poiset & Associates | Dentist | 7930 Frost St, Suite 101, San Diego, CA 92123-2737 | 2011-03-24 |
| 1659670057 | Niloufer S. Dennis Md Medical Corp | Obstetrics & Gynecology | 7930 Frost St, Suite 103, San Diego, CA 92123-2737 | 2011-03-24 |
| 1215264106 | Bianca Martin | Specialist | 7930 Frost St, San Diego, CA 92123-2737 | 2009-11-12 |
| 1609009091 | Grace Saenz | Specialist | 7930 Frost St, San Diego, CA 92123-2737 | 2009-09-01 |
| 1336339555 | Himabindu Gaddipati | Internal Medicine | 7930 Frost St, #405, San Diego, CA 92123 | 2007-07-25 |
| 1962609925 | Stephen S Sparks | Urology | 7930 Frost St, Ste 300, San Diego, CA 92123-2737 | 2007-07-02 |
| 1114132073 | San Diego Ambulatory Surgery Center | Clinic/Center | 7930 Frost St, Suite 105, San Diego, CA 92123-2737 | 2007-05-14 |
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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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770926743 | Joseph Caperna Md A Professional Corporation | Internal Medicine | 2333 First Ave, Suite 104, San Diego, CA 92101-1538 | 2013-04-09 |
| 1407142409 | Isan Chen | Internal Medicine | 9393 Towne Centre Dr, Suite 200, San Diego, CA 92121-3070 | 2011-06-28 |
| 1376607036 | Annette Von Drygalski | Internal Medicine | 9333 Genesee Ave Ste 310, San Diego, CA 92121-2111 | 2006-12-20 |
| 1477628634 | Steven Edward Kossman | Internal Medicine | 5555 Reservoir Dr Ste 306, San Diego, CA 92120-5178 | 2006-11-22 |
| 1649360595 | Wendy Jo Levin | Internal Medicine | 10646 Science Center Dr, Cb10, San Diego, CA 92121-1150 | 2006-10-13 |
| 1851306526 | Saeeda Kirmani | Internal Medicine | 3350 La Jolla Village Dr # 111e, San Diego, CA 92161-0002 | 2006-07-30 |
| 1699721035 | Joel M Lamon | Internal Medicine | 16918 Dove Canyon Rd, Suite 103, San Diego, CA 92127-3445 | 2006-05-26 |
| 1629046925 | Medical Oncology Associates of San Diego A Medical Group Inc | Internal Medicine | 3075 Health Center Dr, Suite 102, San Diego, CA 92123-2773 | 2006-03-10 |
| 1831162627 | Steven G Eisenberg | Internal Medicine | 16918 Dove Canyon Rd Ste 103, San Diego, CA 92127-3455 | 2006-02-10 |
| 1699772756 | Raymond C Heung | Internal Medicine | 5222 Balboa Ave, Ste 33, San Diego, CA 92117-6953 | 2005-07-05 |
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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.