STEPHEN UNTERBERG (NPI# 1215374210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215374210 |
| Entity Type | Individual |
| Full Name | STEPHEN UNTERBERG |
| Credential | MD |
| Practice Address |
4060 4th Ave Ste 310 San Diego CA 92103-2120 |
| Mailing Address |
Po Box 33865 San Diego CA 92163-3865 |
| Practice Telephone | 6192974707 |
| Practice Fax Number | 8584297927 |
| Mailing Telephone | 8588887700 |
| Mailing Fax Number | 8582215036 |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2020-08-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | A133758 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8851 Center Dr Ste 501, La Mesa, CA 919423033 | 6196972456 | 8584297930 |
| 1955 Citracado Pkwy Ste 302, Escondido, CA 920294113 | 7607435111 | 8584297934 |
| Street Address |
4060 4TH AVE STE 310 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-2120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861747396 | Marc Holden | Urology | 4060 4th Ave Ste 310, San Diego, CA 92103-2120 | 2012-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043746068 | Robert David Fisher | Urology | 2930 Barnard St Unit 9203, San Diego, CA 92110-5765 | 2017-05-11 |
| 1437505559 | Devin Nitin Patel | Urology | 200 W Arbor Dr # Mc7897, San Diego, CA 92103-1911 | 2016-05-07 |
| 1861747396 | Marc Holden | Urology | 4060 4th Ave Ste 310, San Diego, CA 92103-2120 | 2012-07-20 |
| 1689837908 | Frederick Michael Busch | Urology | 2926 Kellogg St, # B-19, San Diego, CA 92106-3555 | 2008-07-07 |
| 1023130630 | Youngkyu Peter Sheen | Urology | 5138 Sea Mist Court, San Diego, CA 92121-4227 | 2007-04-04 |
| 1174609127 | Manoj Monga | Urology | Regents of The University of Ca - Ucsd Medical Group, 200 W. Arbor Drive, San Diego, CA 92103-9000 | 2006-10-31 |
| 1801996939 | Male Fertility & Sexual Medicine Specialists | Urology | 6699 Alvarado Rd Ste 2207, San Diego, CA 92120-5240 | 2006-09-25 |
| 1700994357 | Robert Harrison Masters | Urology | 3405 Kenyon St Ste 504, San Diego, CA 92110-5008 | 2006-08-25 |
| 1952330052 | Joel Larralde | Urology | 3914 Murphy Canyon Rd, Suite# A206, San Diego, CA 92123-4491 | 2006-07-01 |
| 1740223619 | Kyoko Sakamoto | Urology | 3350 La Jolla Village Drive, Mail Code 9112f, San Diego, CA 92161-0002 | 2006-06-14 |
| 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.