Justin B King (NPI# 1629262258, PAC ID# 0244379055) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
Nation Provider ID (NPI) | 1629262258 |
PAC ID by PECOS | 0244379055 |
Professional Enrollment ID | I20091207000594 |
Full Name | Justin B King |
Organization Legal Name | CCTC INVESTMENTS |
Address |
4579 Maple Ave Suite 1 La Mesa CA 91941-3154 |
Phone Number | 6192536451 |
Gender | M |
Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
Graduation Year | 2003 |
Primary Specialty | GENERAL SURGERY |
Group Practice PAC ID | 0446598502 |
Number of Group Practice Members | 7 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050757 | ALVARADO HOSPITAL MEDICAL CENTER |
050026 | GROSSMONT HOSPITAL |
050115 | PALOMAR HEALTH DOWNTOWN CAMPUS |
050222 | SHARP CHULA VISTA MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
4579 Maple Ave, Suite 1, La Mesa, CA 91941-3154 | 6192536451 | CCTC INVESTMENTS |
6699 Alvarado Rd, Suite 2309, San Diego, CA 92120-5241 | 6192868803 | ALVARADO PHYSICIANS MEDICAL GROUP |
Organization Legal Name | CCTC INVESTMENTS |
Physicians | 6 |
Name | Specialty | Organization | Address |
---|---|---|---|
John Danjuma Adeiza | Nurse Practitioner | Cctc Investments | 4579 Maple Ave, Suite 1, La Mesa, CA 91941-3154 |
Tyler J Ryan | Physician Assistant | Cctc Investments | 4579 Maple Ave, Suite 1, La Mesa, CA 91941-3154 |
Andres Smith | Emergency Medicine | Cctc Investments | 4579 Maple Ave, Suite 1, La Mesa, CA 91941-3154 |
Efrain Lopez | Nurse Practitioner | Cctc Investments | 4579 Maple Ave, Suite 1, La Mesa, CA 91941-3154 |
Anna C Baston | Nurse Practitioner | Cctc Investments | 4579 Maple Ave, Suite 1, La Mesa, CA 91941-3154 |
Street Address |
4579 MAPLE AVE SUITE 1 |
City | LA MESA |
State | CA |
Zip | 91941-3154 |
Name | Specialty | Organization | Address |
---|---|---|---|
John Danjuma Adeiza | Nurse Practitioner | Cctc Investments | 4579 Maple Ave, Suite 1, La Mesa, CA 91941-3154 |
Tyler J Ryan | Physician Assistant | Cctc Investments | 4579 Maple Ave, Suite 1, La Mesa, CA 91941-3154 |
Andres Smith | Emergency Medicine | Cctc Investments | 4579 Maple Ave, Suite 1, La Mesa, CA 91941-3154 |
Efrain Lopez | Nurse Practitioner | Cctc Investments | 4579 Maple Ave, Suite 1, La Mesa, CA 91941-3154 |
Anna C Baston | Nurse Practitioner | Cctc Investments | 4579 Maple Ave, Suite 1, La Mesa, CA 91941-3154 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jay Gerzmehle | Occupational Therapy | Sharp Rees-stealy Medical Group Inc | 7862 El Cajon Blvd, La Mesa, CA 91941 |
Rhad Armstrong Brown | Physical Therapy | Sharp Rees-stealy Medical Group Inc | 7862 El Cajon Blvd, La Mesa, CA 91941 |
Jennifer N Tam | Optometry | Sharp Rees-stealy Medical Group Inc | 7862 El Cajon Blvd, La Mesa, CA 91941 |
Sheri Suzanne Smith | Qualified Speech Language Pathologist | Sharp Rees-stealy Medical Group Inc | 7862 El Cajon Blvd, La Mesa, CA 91941 |
Annie Tsuen Chin | Optometry | Sharp Rees-stealy Medical Group Inc | 7862 El Cajon Blvd, La Mesa, CA 91941 |
Megan La Greca Meduna | Physical Therapy | Sharp Rees-stealy Medical Group Inc | 7862 El Cajon Blvd, La Mesa, CA 91941 |
Stewart E Sanders | Physical Therapy | Sharp Rees-stealy Medical Group Inc | 7862 El Cajon Blvd, La Mesa, CA 91941 |
Phaysane Oudom | Physical Therapy | Sharp Rees-stealy Medical Group Inc | 7862 El Cajon Blvd, La Mesa, CA 91941 |
Craig C Liu | Optometry | Sharp Rees-stealy Medical Group Inc | 7862 El Cajon Blvd, La Mesa, CA 91941 |
Stephanie Danielle Stone | Physical Therapy | Sharp Rees-stealy Medical Group Inc | 7862 El Cajon Blvd, La Mesa, CA 91941 |
Find all physicians in zip 91941 |
City | LA MESA |
Zip Code | 91941 |
Specialty | GENERAL SURGERY |
City + Specialty | LA MESA + GENERAL SURGERY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.