SHARP REES-STEALY MEDICAL GROUP, INC (NPI# 1104206168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104206168 |
| Entity Type | Organization |
| Organization Name | SHARP REES-STEALY MEDICAL GROUP, INC |
| Practice Address |
8010 Frost St Fl 2 San Diego CA 92123-4284 |
| Mailing Address |
Po Box 939087 San Diego CA 92193-9087 |
| Practice Telephone | 8584992600 |
| Mailing Telephone | 8582626344 |
| Mailing Fax Number | 8586362032 |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2018-09-24 |
| Authorized Official Name | DR. ALAN J BIER (PRESIDENT) |
| Authorized Official Telephone | 8582626666 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | SHARP REES-STEALY MEDICAL GROUP, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | W216 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891158549 | Sharp Rees-stealy Medical Group, Inc | Durable Medical Equipment & Medical Supplies | 9610 Granite Ridge Dr, San Diego, CA 92123-2684 | 2016-03-31 |
| 1285616177 | Sharp Rees-stealy Medical Group, Inc | Optometrist | 2001 4th Ave, San Diego, CA 92101-2303 | 2005-11-16 |
| Street Address |
8010 FROST ST FL 2 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-4284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306103510 | Hardeep Singh Phull | Internal Medicine | 8010 Frost St Fl 2, San Diego, CA 92123-4284 | 2012-04-12 |
| 1407237522 | Nicole Ann Kitchen | Physician Assistant | 8010 Frost St Fl 2, San Diego, CA 92123-4284 | 2015-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
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| 1598385866 | Modern Therapies LLC | Durable Medical Equipment & Medical Supplies | 2870 4th Ave Apt 401, San Diego, CA 92103-6273 | 2020-04-16 |
| 1639707060 | Derma Hair Group | Durable Medical Equipment & Medical Supplies | 5703 Oberlin Dr Ste 302, San Diego, CA 92121-1743 | 2020-03-31 |
| 1205464658 | Proactive Care Pharmacy, LLC. | Durable Medical Equipment & Medical Supplies | 7345 Linda Vista Rd Ste E, San Diego, CA 92111-5800 | 2020-03-31 |
| 1619502788 | Inova Labs Inc. | Durable Medical Equipment & Medical Supplies | 7581 Convoy Ct, San Diego, CA 92111-1113 | 2020-03-09 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1972147825 | Binyam Gebregziaber Gebrehiwot I | Durable Medical Equipment & Medical Supplies | 4951 68th St, San Diego, CA 92115-1704 | 2019-11-04 |
| 1801438841 | Goodchoice Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 4760 Mission Gorge Pl Ste D, San Diego, CA 92120-4230 | 2019-10-10 |
| 1366090029 | Shur-in, Inc. | Durable Medical Equipment & Medical Supplies | 7452 Rowena Street, San Diego, CA 92119-1241 | 2019-08-27 |
| 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.