RICARDO KOSTURAKIS (NPI# 1881031326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881031326 |
| Entity Type | Individual |
| Full Name | RICARDO KOSTURAKIS |
| Credential | M. D. |
| Practice Address |
9898 Genesee Ave La Jolla CA 92037-1205 |
| Mailing Address |
10790 Rancho Bernardo Rd San Diego CA 92127-5705 |
| Practice Telephone | 8585545222 |
| Practice Fax Number | 8589643116 |
| Mailing Telephone | 8585545222 |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2020-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
A133165 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
A133165 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10666 N Torrey Pines Rd, La Jolla, CA 920371027 | 8585543235 |
| Street Address |
9898 GENESEE AVE |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033116223 | William Gang Wang | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2005-07-01 |
| 1639715725 | Elisabeth Sarah Lottman | Speech-Language Pathologist | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2019-11-23 |
| 1730740036 | Adriana Yvette Southworth | Registered Nurse | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2019-06-26 |
| 1205333010 | Chelsea Marie Rouleau | Nurse Practitioner | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2018-04-09 |
| 1477067981 | Eneh-lieh J Ancheta | Nurse Practitioner | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2017-11-20 |
| 1780102640 | Marissa Munsayac | Nurse Practitioner | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2017-08-31 |
| 1306374012 | Paige Read Squiller | Physician Assistant | 9898 Genesee Ave, Amp 410, La Jolla, CA 92130 | 2017-05-24 |
| 1972054534 | Scripps Health | Clinic/Center | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2016-10-19 |
| 1073061248 | Paddy Barrett | Internal Medicine | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2016-09-16 |
| 1225487069 | Jacinta Tran | Nurse Practitioner | 9898 Genesee Ave, La Jolla, CA 92037 | 2016-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295243160 | Coordinated Health of Ca II, LLC | Internal Medicine | 4275 Executive Sq Ste 200c, La Jolla, CA 92037-1476 | 2018-01-13 |
| 1659711554 | Ashish Rastogi | Internal Medicine | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2013-06-25 |
| 1568715928 | Christina Tan | Internal Medicine | 10666 N Torrey Pines Rd, La Jolla, CA 92037 | 2012-10-23 |
| 1023372711 | Adam Taleb | Internal Medicine | 9452 Medical Center Dr # 7411, La Jolla, CA 92037 | 2012-06-27 |
| 1073636577 | Curtiss Tyler Stinis | Internal Medicine | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2007-04-09 |
| 1659343945 | Matthew J. Price | Internal Medicine | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2006-02-02 |
| 1861494601 | Rapeport Medical Corporation | Internal Medicine | 9850 Genesee Ave, Ste 940b, La Jolla, CA 92037-1224 | 2005-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104430412 | Anitha Rajamanickam Md Apmc | Internal Medicine | 3907 Waring Rd Ste 3, Oceanside, CA 92056-4454 | 2020-09-03 |
| 1316574890 | Woodland Hills Cardiology Group, PC | Internal Medicine | Woodland Hills Cardiology Group, PC, 22900 Ventura Blvd, Ste 165, Woodland Hills, CA 91364 | 2020-03-25 |
| 1841820677 | Sarsam Cardiology A Professional Corporation | Internal Medicine | 31285 Temecula Pkwy Ste 220, Temecula, CA 92592-6833 | 2020-01-21 |
| 1982246575 | Golden State Heart & Vascular Associates | Internal Medicine | 1850 El Camino Real Ste 200, Burlingame, CA 94010 | 2019-10-15 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1336708494 | Peripheral Vascular Institute, Inc. A Podiatry Corp | Internal Medicine | 2100 Solar Dr Ste 103, Oxnard, CA 93036-0649 | 2019-06-11 |
| 1568020709 | Bakersfield Vascular Care Inc | Internal Medicine | 3550 Q St Ste 205, Bakersfield, CA 93301-1645 | 2019-06-03 |
| 1669974689 | Hossein Eftekhari Md Inc | Internal Medicine | 4147 Pascal Pl, Palos Verdes Peninsula, CA 90274-3941 | 2018-03-06 |
| 1104324102 | Adventist Health Physicians Network | Internal Medicine | 414 G St Ste 108, Marysville, CA 95901-5669 | 2018-01-25 |
| 1194223198 | Adventist Health Physicians Network | Internal Medicine | 414 G St Ste 210, Marysville, CA 95901-5669 | 2018-01-25 |
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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.