JSHEARD MD INCORPORATED (NPI# 1932401239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932401239 |
| Entity Type | Organization |
| Organization Name | JSHEARD MD INCORPORATED |
| Practice Address |
4025 Camino Del Rio S Ste 250 San Diego CA 92108-4107 |
| Mailing Address |
3628 E Imperial Hwy Ste 401 Lynwood CA 90262-2643 |
| Practice Telephone | 6192855990 |
| Practice Fax Number | 6192855988 |
| Mailing Telephone | 5625959771 |
| Mailing Fax Number | 5625903175 |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2010-12-22 |
| Authorized Official Name | DR. JONATHAN S HEARD (CEO) |
| Authorized Official Telephone | 5625959771 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
G59961 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
4025 CAMINO DEL RIO S STE 250 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-4107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497725907 | Robert Keller Parkinson | Radiology | 4025 Camino Del Rio S, Suite 300, San Diego, CA 92108-4107 | 2006-01-25 |
| 1396362109 | Abigail Bushnell | Behavior Technician | 4025 Camino Del Rio S, San Diego, CA 92108-4107 | 2020-06-26 |
| 1760005722 | Vanessa Rivera | Behavior Technician | 4025 Camino Del Rio S, San Diego, CA 92108-4107 | 2020-05-26 |
| 1629617741 | Ofelia Mendoza | Behavior Technician | 4025 Camino Del Rio S, San Diego, CA 92108-4107 | 2020-01-06 |
| 1790193555 | Petrea Kristine Huynh | Counselor | 4025 Camino Del Rio S, Suite 250, San Diego, CA 92108-4107 | 2014-07-24 |
| 1558650085 | Ashley Diana Cox | Marriage & Family Therapist | 4025 Camino Del Rio S, Suite 250, San Diego, CA 92108-4107 | 2011-04-05 |
| 1528208212 | H.l. Stephens, A.p.c. | Psychologist | 4025 Camino Del Rio S, # 300, San Diego, CA 92108-4107 | 2009-02-20 |
| 1477792422 | Heather L. Stephens | Psychologist | 4025 Camino Del Rio S, #300, San Diego, CA 92108-4107 | 2009-02-16 |
| 1164690962 | Dolan Shig Mayeda | Chiropractor | 4025 Camino Del Rio S, Ste 300, San Diego, CA 92108 | 2008-02-14 |
| 1396927141 | Pacific Coast Healthcare | Nursing Care | 4025 Camino Del Rio S, Suite #331, San Diego, CA 92108-4107 | 2007-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598863193 | Lawrence Roberts | Surgery | 7930 Frost St Ste 204, San Diego, CA 92123-2739 | 2006-09-20 |
| 1285266353 | Abc Trauma, Inc. | Surgery | 7930 Frost St Ste 204, San Diego, CA 92123-2739 | 2020-02-06 |
| 1295237022 | Idahosurgeons Net PC | Surgery | 7910 Frost St Ste 250, San Diego, CA 92123-2752 | 2018-03-07 |
| 1023474442 | Diane Wintz Md Inc | Surgery | 7910 Frost St, Ste 450, San Diego, CA 92123-2771 | 2016-01-14 |
| 1376839167 | Kuong Ngann | Surgery | 200 W Arbor Dr, Mc 8896, San Diego, CA 92103-8896 | 2011-06-21 |
| 1538484084 | Amelia Jean Simpson | Surgery | 7930 Frost St Ste 204, San Diego, CA 92123-2739 | 2010-03-27 |
| 1639398225 | Robert D. Tonks, M.d., Inc | Surgery | 8010 Frost St, Suite 604, San Diego, CA 92123-2778 | 2007-04-24 |
| 1649334657 | Jeanne G. Lee | Surgery | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2006-12-21 |
| 1669494662 | Sandra L Freiwald | Surgery | 200 W Arbor Dr, Mail Code 8201, San Diego, CA 92103-9001 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558809277 | Southern California Hepatobiliary Pancreatic and Robotic Surgery Ins | Surgery | 5805 Sepulveda Blvd Ste 690, Sherman Oaks, CA 91411 | 2017-02-01 |
| 1609212919 | Daniel Eldridge Smith | Surgery | 11175 Campus St # 21111, Loma Linda, CA 92350 | 2013-05-14 |
| 1841553187 | Ning Lu | Surgery | 9898 Genesee Ave Fl 1, La Jolla, CA 92037-1205 | 2012-06-21 |
| 1942588868 | Trauma & Critical Care Sfv Group Inc | Surgery | 11550 Indian Hills Road, Suite 310, Mission Hills, CA 91345 | 2011-07-26 |
| 1467652859 | Trauma Vascular Surgeons Inc | Surgery | 12400 Ventura Blvd # 374, Studio City, CA 91604-2406 | 2007-07-23 |
| 1194819532 | North County Trauma Services, Inc. | Surgery | 451 March Avenue, Suite B, Healdsburg, CA 95448-3387 | 2006-10-02 |
| 1467563791 | North County Trauma Associates, Inc. A Medical Group | Surgery | 215 South Hickory Avenue, Suite 112, Escondido, CA 92025-4360 | 2006-08-31 |
| 1922116987 | Dinh Nhatton Nguyen | Surgery | 1800 Harrison St Fl 7, Oakland, CA 94612-3466 | 2006-08-29 |
| 1477564474 | Todd A Kanen | Surgery | 5333 Hollister Ave Ste 210, Santa Barbara, CA 93111-3331 | 2006-08-11 |
| 1710901590 | Leslie Ann Giesemann | Surgery | 317 N El Camino Real Ste 502, Encinitas, CA 92024-2816 | 2006-07-26 |
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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.