DR. DAVID NAIMARK (NPI# 1265458087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265458087 |
| Entity Type | Individual |
| Full Name | DR. DAVID NAIMARK |
| Credential | M.D. |
| Practice Address |
220 W Broadway #1003 San Diego CA 92101-3886 |
| Practice Telephone | 6195313257 |
| Practice Fax Number | 6195313668 |
| Mailing Telephone | 6195313257 |
| Mailing Fax Number | 6195313668 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2013-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
G75488 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
G75488 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
G75488 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G754880 | 05 |
| Street Address |
220 W BROADWAY #1003 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92101-3886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174630404 | Ansar M Haroun | Psychiatry & Neurology | 220 W Broadway, Forensic Psychiatry Clinic # 1003, San Diego, CA 92101-3886 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415472 | Ryanleo Flores | Nurse Practitioner | 2017 1st Avenue, Suite 301, San Diego, CA 92101 | 2020-10-18 |
| 1265056048 | Tilbe Yildirim | Student in an Organized Health Care Education/Training Program | 1963 Fourth Ave., San Diego, CA 92101 | 2020-06-08 |
| 1235752585 | Liminal Solutions LLC | Home Health | 845 15th Street, Floors 1-4, San Diego, CA 92101 | 2020-05-21 |
| 1699258459 | Talya Donahue | Peer Specialist | 1045 Ninth Ave, San Diego, CA 92101 | 2018-09-07 |
| 1700380086 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1850 5th Ave, San Diego, CA 92101 | 2018-03-21 |
| 1013436161 | Yasmin Galicianava | Student in an Organized Health Care Education/Training Program | 734 Tenth Ave, San Diego, CA 92101 | 2017-09-10 |
| 1487172516 | Jessica Roach | Counselor | 1045 9th Avenue, San Diego, CA 92101 | 2017-09-09 |
| 1699204099 | Lisa Nunez | Student in an Organized Health Care Education/Training Program | 1963 4th Avenue, San Diego, CA 92101 | 2017-06-08 |
| 1356882245 | Dajah Mone't Lockett | Counselor | 2535 Kettner Blvd Suite 1a4, San Diego, CA 92101 | 2017-03-13 |
| 1649718495 | Luigi Bunyi | Behavior Technician | 501 W Broadway Suite 800, San Diego, CA 92101 | 2017-02-01 |
| Find all providers in zip 92101 | ||||
| Taxonomy Code | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235362237 | Eric Henry Marcus | Psychiatry & Neurology | 2648 W Canyon Ave, San Diego, CA 92123-4684 | 2009-08-25 |
| 1093918807 | Yufang Jennifer Chang | Psychiatry & Neurology | 302 Washington St # 946, San Diego, CA 92103-2110 | 2007-06-08 |
| 1225139314 | Matthew Carroll | Psychiatry & Neurology | 3131 Camino Del Rio N Ste 270, San Diego, CA 92108-5703 | 2006-09-25 |
| 1558467118 | Benjamin Bensoul | Psychiatry & Neurology | 981 Manor Way, San Diego, CA 92106-2035 | 2006-09-14 |
| 1801811104 | Raphael Adam Morris | Psychiatry & Neurology | 4550 Kearny Villa Rd Ste 116, San Diego, CA 92123-1583 | 2006-07-13 |
| 1841440419 | Jason R. Kornberg, M.d., A Professional Corporation | Psychiatry & Neurology | 591 Camino De La Reina, Suite #820, San Diego, CA 92108-3102 | 2008-09-19 |
| 1770764326 | Alexander C Green | Psychiatry & Neurology | 12520 High Bluff Dr, Ste 375, San Diego, CA 92130 | 2007-11-23 |
| 1649496092 | Dominick Addario | Psychiatry & Neurology | 3010 1st Ave, San Diego, CA 92103-5816 | 2007-04-17 |
| 1154443786 | J. Brand Brickman | Psychiatry & Neurology | 2477 Congress St, San Diego, CA 92110-2820 | 2007-04-04 |
| 1073685764 | Jason R. Kornberg | Psychiatry & Neurology | 591 Camino De La Reina, Suite #820, San Diego, CA 92108-3102 | 2006-11-15 |
| 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.