INSTITUTE FOR SPECIALIZED MEDICINE,INC (NPI# 1881870566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881870566 |
| Entity Type | Organization |
| Organization Name | INSTITUTE FOR SPECIALIZED MEDICINE,INC |
| Practice Address |
4125 Sorrento Valley Blvd Suite A & C San Diego CA 92121-1423 |
| Practice Telephone | 8587949192 |
| Practice Fax Number | 8587949164 |
| Mailing Telephone | 8587949192 |
| Mailing Fax Number | 8587949164 |
| Enumeration Date | 2008-01-13 |
| Last Update Date | 2018-08-22 |
| NPI Deactivation Date | 08/15/2018 |
| NPI Reactivation Date | 2018-08-22 |
| Authorized Official Name | DR. ALEXANDER R SHIKHMAN (CEO) |
| Authorized Official Telephone | 8584050553 |
| Authorized Official Credential | M.D., PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
A62637 | CA | Ambulatory Health Care Facilities |
| Street Address |
4125 SORRENTO VALLEY BLVD SUITE A & C |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121-1423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811406119 | Gabrielle Traub Brooks | Homeopath | 4125 Sorrento Valley Blvd, Suite A, San Diego, CA 92121 | 2017-09-29 |
| 1548637002 | Arshiya Sharafi, Dds, PC | Dentist | 4125 Sorrento Valley Blvd, Suite D, San Diego, CA 92121 | 2015-08-31 |
| 1306092663 | Jared Wayne Mack | Dentist | 4125 Sorrento Valley Blvd, Suite D, San Diego, CA 92121 | 2008-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
| 1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
| 1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
| 1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
| 1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
| 1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| Find all providers in zip 92121 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518424829 | Tri Thuong Nguyen Md Apc | Clinic/Center | 7345 Linda Vista Rd Ste A, San Diego, CA 92111-5800 | 2019-02-22 |
| 1336643881 | Anna Halbeisen, D.o., P.C. | Clinic/Center | 3706 Ruffin Rd # 129, San Diego, CA 92123-1812 | 2018-03-20 |
| 1790140077 | Medarts Weight Loss Specialist Inc | Clinic/Center | 450 A St, Suite 400, San Diego, CA 92101-4274 | 2015-12-30 |
| 1467831891 | Work Smart Physical Therapy | Clinic/Center | 1011 Camino Del Rio S Ste 340, San Diego, CA 92108-3566 | 2015-05-18 |
| 1316183999 | Rady Children's Hospital | Clinic/Center | 200 W Arbor Dr # Mc8450, San Diego, CA 92103-9001 | 2009-01-01 |
| 1609052893 | California Institute of Plastic and Reconstructive Surgery A Med. Corp | Clinic/Center | 11515 El Camino Real Ste 150, San Diego, CA 92130-3037 | 2008-01-17 |
| 1487851499 | Boris Khamishonmd | Clinic/Center | 6699 Alvarado Rd Ste 2301, San Diego, CA 92120-5241 | 2007-07-02 |
| 1194809798 | Pregnancy Specialists Medical Group, Inc. | Clinic/Center | 7910 Frost St # 425, San Diego, CA 92123-2771 | 2006-10-24 |
| 1144842535 | Cherif Girgis Md, Inc | Clinic/Center | 4531 College Ave, San Diego, CA 92115-4010 | 2020-05-08 |
| 1710451166 | Team Tongue Tie, Inc. | Clinic/Center | 12625 High Bluff Dr Ste 313, San Diego, CA 92130-2054 | 2019-01-18 |
| 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.