Martin L Kabongo (NPI# 1033168810, PAC ID# 0941237721) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1033168810 |
PAC ID by PECOS | 0941237721 |
Professional Enrollment ID | I20050722000835 |
Full Name | Martin L Kabongo |
Organization Legal Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA - UCSD MEDICAL GROUP |
Address |
330 Lewis St San Diego CA 92103-2108 |
Phone Number | 8586577000 |
Gender | M |
Credential | MD |
Graduation Year | 1986 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 3577476761 |
Number of Group Practice Members | 1362 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050025 | UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR |
Address | Phone | Organization |
---|---|---|
200 W Arbor Dr, San Diego, CA 92103-9000 | 8586577000 | REGENTS OF THE UNIVERSITY OF CALIFORNIA - UCSD MEDICAL GROUP |
330 Lewis St, San Diego, CA 92103-2108 | 8586577000 | REGENTS OF THE UNIVERSITY OF CALIFORNIA - UCSD MEDICAL GROUP |
9333 Genesee Ave, Suite 200, San Diego, CA 92121-2113 | 8586577000 | REGENTS OF THE UNIVERSITY OF CALIFORNIA - UCSD MEDICAL GROUP |
9909 Mira Mesa Blvd, Suite 200, San Diego, CA 92131-1061 | 8586577000 | REGENTS OF THE UNIVERSITY OF CALIFORNIA - UCSD MEDICAL GROUP |
Organization Legal Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA - UCSD MEDICAL GROUP |
Physicians | 1515 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tyler Scott Green | Orthopedic Surgery | Regents of The University of California - Ucsd Medical Group | 9400 Campus Point Dr, La Jolla, CA 92093-1350 |
Molly Willis | Nurse Practitioner | Regents of The University of California - Ucsd Medical Group | 140 Arbor Dr, San Diego, CA 92103-2007 |
Priti Ojha | Psychiatry | Regents of The University of California - Ucsd Medical Group | 1350 S El Camino Real, Encinitas, CA 92024-4904 |
Kenneth N Halter | Physician Assistant | Regents of The University of California - Ucsd Medical Group | 4168 Front St, San Diego, CA 92103-2030 |
Ana T Kukulj | Nurse Practitioner | Regents of The University of California - Ucsd Medical Group | 9350 Campus Point Dr, La Jolla, CA 92037-1300 |
Andrew Sharabi | Radiation Oncology | Regents of The University of California - Ucsd Medical Group | 3855 Health Sciences Dr, La Jolla, CA 92093-1503 |
Kyle P Edmonds | Hospice/palliative Care | Regents of The University of California - Ucsd Medical Group | 9300 Campus Point Dr, La Jolla, CA 92037-1300 |
Christopher W Heichel | Ophthalmology | Regents of The University of California - Ucsd Medical Group | 9415 Campus Point Dr, La Jolla, CA 92093-1350 |
Ramin Motarjemi | Geriatric Medicine | Regents of The University of California - Ucsd Medical Group | 200 W Arbor Dr, San Diego, CA 92103-3109 |
Benjamin D Yu | Dermatology | Regents of The University of California - Ucsd Medical Group | 8899 University Ln, Ucsd Univ Pac Cntr, San Diego, CA 92122-1010 |
Street Address |
330 LEWIS ST |
City | SAN DIEGO |
State | CA |
Zip | 92103-2108 |
Name | Specialty | Organization | Address |
---|---|---|---|
Deepa Sannidhi | Family Medicine | Regents of The University of California - Ucsd Medical Group | 330 Lewis St, San Diego, CA 92103-2108 |
Eric A Yelsa | Psychologist, Clinical | Regents of The University of California - Ucsd Medical Group | 330 Lewis St, San Diego, CA 92103-2108 |
Thomas A Myers | Clinical Social Worker | Regents of The University of California - Ucsd Medical Group | 330 Lewis St, San Diego, CA 92103-2108 |
Geneen Gin | Family Medicine | Regents of The University of California - Ucsd Medical Group | 330 Lewis St, San Diego, CA 92103-2108 |
Julie Celebi | Family Medicine | Regents of The University of California - Ucsd Medical Group | 330 Lewis St, San Diego, CA 92103-2108 |
Jennifer J Wu | Family Medicine | Regents of The University of California - Ucsd Medical Group | 330 Lewis St, San Diego, CA 92103-2108 |
Sarah E Merrill | Family Medicine | Regents of The University of California - Ucsd Medical Group | 330 Lewis St, San Diego, CA 92103-2108 |
Suraj A Achar | Family Medicine | Regents of The University of California - Ucsd Medical Group | 330 Lewis St, San Diego, CA 92103-2108 |
Kenneth S Taylor | Family Medicine | Regents of The University of California - Ucsd Medical Group | 330 Lewis St, San Diego, CA 92103-2108 |
Deanna L Hill | Internal Medicine | Regents of The University of California - Ucsd Medical Group | 330 Lewis St, San Diego, CA 92103-2108 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Peter E Cadman | Nephrology | Regents of The University of California - Ucsd Medical Group | 200 W Arbor Dr, San Diego, CA 92103-0001 |
Patrick Pablo | Registered Dietitian Or Nutrition Professional | Regents of The University of California - Ucsd Medical Group | 200 W Arbor Dr, San Diego, CA 92103-0001 |
Kelli Gray-meisner | Registered Dietitian Or Nutrition Professional | Regents of The University of California - Ucsd Medical Group | 200 W Arbor Dr, San Diego, CA 92103-0001 |
Lovella S Hailey | Nurse Practitioner | Regents of The University of California - Ucsd Medical Group | 200 W Arbor Dr, San Diego, CA 92103-0001 |
Valerie L Waters | Nurse Practitioner | Regents of The University of California - Ucsd Medical Group | 200 W Arbor Dr, San Diego, CA 92103-0001 |
Jennifer A Dorward | Nurse Practitioner | Regents of The University of California - Ucsd Medical Group | 200 W Arbor Dr, San Diego, CA 92103-0001 |
Erika Albani | Family Practice | Regents of The University of California - Ucsd Medical Group | 200 W Arbor Dr, San Diego, CA 92103-0001 |
Sharon Grodner | Psychologist, Clinical | 2278 Pine St, San Diego, CA 92103-1153 | |
Gregory M Balourdas | Hand Surgery | 4101 Randolph St, San Diego, CA 92103-1342 | |
Stephanie L Lessig | Neurology | Regents of The University of California - Ucsd Medical Group | 4311 3rd Ave, San Diego, CA 92103-1407 |
Find all physicians in zip 92103 |
City | SAN DIEGO |
Zip Code | 92103 |
Specialty | FAMILY MEDICINE |
City + Specialty | SAN DIEGO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Martin L Kabongo.
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.