CHARLES A ATHILL (NPI# 1174504252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174504252 |
| Entity Type | Individual |
| Full Name | CHARLES A ATHILL |
| Credential | M.D. |
| Practice Address |
3131 Berger Ave Suite 200 San Diego CA 92123-4233 |
| Practice Telephone | 8582446800 |
| Practice Fax Number | 8582446909 |
| Mailing Telephone | 8582446800 |
| Mailing Fax Number | 8582446909 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2011-09-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
G78671 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
G78671 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G786710 | 05 |
| Street Address |
3131 BERGER AVE SUITE 200 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-4233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619973476 | David A. Stein | Psychiatry & Neurology | 3131 Berger Ave, Ste 250, San Diego, CA 92123-4203 | 2005-06-24 |
| 1245615020 | Judy Hwang Ketcham | Nurse Practitioner | 3131 Berger Ave, San Diego, CA 92123-4233 | 2015-07-22 |
| 1407099799 | Hirsch S Mehta | Internal Medicine | 3131 Berger Ave, Suite 200, San Diego, CA 92123-4203 | 2009-04-15 |
| 1801980446 | San Diego Cardiac Center Medical Group | Internal Medicine | 3131 Berger Ave, Ste 200, San Diego, CA 92123-4233 | 2006-10-03 |
| 1831134162 | Ara S. Klijian | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3131 Berger Ave, Suite# 250, San Diego, CA 92123-4233 | 2006-06-19 |
| 1467429191 | Raghava R. Gollapudi | Internal Medicine | 3131 Berger Ave, Suite 200, San Diego, CA 92123-4233 | 2006-03-01 |
| 1477534113 | Kavita Kumar | Internal Medicine | 3131 Berger Ave, San Diego, CA 92123-4233 | 2005-11-09 |
| 1386625069 | Ronald H Miller | Internal Medicine | 3131 Berger Ave, San Diego, CA 92123-4203 | 2005-11-09 |
| 1891776571 | Gregory B Mahan | Internal Medicine | 3131 Berger Ave, San Diego, CA 92123-4203 | 2005-11-09 |
| 1194706242 | Brian E Jaski | Internal Medicine | 3131 Berger Ave, San Diego, CA 92123-4233 | 2005-11-07 |
| Find all providers in the same location | ||||
| 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 | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588890743 | Ruchir Sehra | Internal Medicine | Sandiego Va Hospital 3350 La Jolla Village Dr, Cardiology 111, San Diego, CA 92161-0001 | 2009-06-02 |
| 1487651154 | Helen Elizabeth Noll | Internal Medicine | 2929 Health Center Dr, San Diego, CA 92123-2762 | 2005-07-07 |
| 1346516069 | Gordon Ho | Internal Medicine | 200 W Arbor Dr, San Diego, CA 92103 | 2012-03-27 |
| 1679747448 | Brett A Gidney Md A Medical Corporation | Internal Medicine | 5555 Reservoir Dr, Suite 112, San Diego, CA 92120-5134 | 2008-04-14 |
| 1427255967 | Frederick Tehbek Han | Internal Medicine | 200 W Arbor Dr, San Diego, CA 92103 | 2007-06-28 |
| 1427176338 | Regents of University of California - Ucsd Medical Group | Internal Medicine | 200 West Arbor Drive, Mc-8201 Attn: Provider Enrollment Department, San Diego, CA 92103-8201 | 2007-03-27 |
| 1841322195 | Kurt Stephen Hoffmayer | Internal Medicine | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2007-03-12 |
| 1609924554 | Brant Chin Zen Liu | Internal Medicine | 4647 Zion Ave, San Diego, CA 92120-2507 | 2007-01-08 |
| 1346398179 | Sardul J. Singh | Internal Medicine | 4647 Zion Ave, San Diego, CA 92120-2507 | 2007-01-08 |
| 1285708628 | Joseph B Stein, Md, Facc, Inc | Internal Medicine | 4060 4th Ave, Suite 205, San Diego, CA 92103-2116 | 2006-11-18 |
| 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.