DR. PETER PHUNG (NPI# 1215297767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215297767 |
| Entity Type | Individual |
| Full Name | DR. PETER PHUNG |
| Credential | M.D. |
| Practice Address |
3855 Health Sciences Dr # Mc0987 La Jolla CA 92093-1503 |
| Mailing Address |
8233 Station Village Ln Unit 2119 San Diego CA 92108-6583 |
| Practice Telephone | 8585347079 |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2018-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
A133228 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3855 HEALTH SCIENCES DR # MC0987 |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92093-1503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902442908 | Forrest N Ridgway | Pharmacist | 3855 Health Sciences Drive #0845, La Jolla, CA 92093 | 2019-11-25 |
| 1578060067 | Michelle Sloan | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr #0851, La Jolla, CA 92093 | 2018-04-10 |
| 1114372471 | Kevin Ting | Internal Medicine | 9500 Gilman Dr # Mc7411, La Jolla, CA 92093 | 2016-04-24 |
| 1225490147 | Karen Tye | Student in an Organized Health Care Education/Training Program | 3960 Health Sciences Drive, La Jolla, CA 92093 | 2016-03-22 |
| 1457716615 | Christine Pulido | Student in an Organized Health Care Education/Training Program | 9500 Gilman Drive #0851, La Jolla, CA 92093 | 2015-12-15 |
| 1467830489 | Justin Arshed Shaya | Internal Medicine | 3855 Health Sciences Dr #0829, La Jolla, CA 92093 | 2015-05-11 |
| 1225425606 | Brad Hiroshi Kimura | Internal Medicine | 9500 Gilman Dr # Mc9111g, La Jolla, CA 92093 | 2015-04-23 |
| 1407241169 | Courtney Holmes Mckee | Emergency Medicine | 3855 Health Sciences Drive Mc0987, La Jolla, CA 92093 | 2015-03-31 |
| 1528488350 | Arlene Bravo | General Practice | 9500 Gilman Dr # Mc0656, La Jolla, CA 92093 | 2014-04-19 |
| 1710237391 | Chaitanya Pabbati | Psychiatry & Neurology | 9500 Gillman Drive #9116a, La Jolla, CA 92093 | 2012-09-11 |
| Find all providers in zip 92093 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073722021 | Paula Michelle Mesarwi | Internal Medicine | 3855 Health Sciences Dr, La Jolla, CA 92093-3875 | 2007-05-22 |
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|---|---|---|---|---|
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| 1851990907 | Odyssey Healthcare Operating A Lp | Internal Medicine | 9444 Balboa Ave Ste 290, San Diego, CA 92123-4901 | 2020-10-20 |
| 1700404852 | Envisage Palliative Care | Internal Medicine | 7369 Solstice Pl, Rancho Cucamonga, CA 91739-8769 | 2020-07-06 |
| 1528683398 | A-1 Healthcare Management | Internal Medicine | 5011 Argosy Ave Ste 4, Huntington Beach, CA 92649-1002 | 2020-06-08 |
| 1386275030 | Madrone Care Network LLC | Internal Medicine | 117 Brookline St, Moraga, CA 94556-1016 | 2020-01-31 |
| 1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
| 1043771678 | Linda Sara Blum | Internal Medicine | 2351 Clay St Ste 339, San Francisco, CA 94115-1931 | 2019-03-27 |
| 1710458245 | Enlightened Healthcare Alliance Medical Corporation | Internal Medicine | 662 Encinitas Blvd Ste 220, Encinitas, CA 92024-6791 | 2018-12-10 |
| 1245745009 | Haiven Hospice Inc | Internal Medicine | 1255 W Colton Ave Ste 564, Redlands, CA 92374-2861 | 2017-12-02 |
| 1174980452 | Aspire Health Medical Partners of California, PC | Internal Medicine | 117 E Colorado Blvd, Suite 600, Pasadena, CA 91105-1938 | 2016-01-18 |
| Find all providers with the same taxonomy | ||||
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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.