SHARP REES-STEALY MEDICAL GROUP, INC (NPI# 1285616177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285616177 |
| Entity Type | Organization |
| Organization Name | SHARP REES-STEALY MEDICAL GROUP, INC |
| Practice Address |
2001 4th Ave San Diego CA 92101-2303 |
| Mailing Address |
Po Box 939087 San Diego CA 92193-9087 |
| Practice Telephone | 6194461727 |
| Practice Fax Number | 6196961579 |
| Mailing Telephone | 6194461646 |
| Mailing Fax Number | 6196961579 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2017-02-01 |
| Authorized Official Name | DR. ALAN J BIER III (PRESIDENT) |
| Authorized Official Telephone | 6194461530 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0021721 | 05 | |
| CA | GR0021725 | 05 | |
| CA | GR0021727 | 05 | |
| CA | GR0021729 | 05 | |
| CA | GR0021720 | 05 | |
| CA | GR0021723 | 05 | |
| CA | GR0021724 | 05 | |
| CA | GR0021728 | 05 | |
| CA | GR0021722 | 05 | |
| CA | GR0021726 | 05 |
| 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 |
| 1104206168 | Sharp Rees-stealy Medical Group, Inc | Durable Medical Equipment & Medical Supplies | 8010 Frost St Fl 2, San Diego, CA 92123-4284 | 2015-06-04 |
| Street Address |
2001 4TH AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92101-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790771186 | Kim Allen | Pharmacist | 2001 4th Ave, Sharp Rees Stealy Pharmacy, San Diego, CA 92101-2303 | 2005-09-21 |
| 1245754704 | Fon Hokanson | Pharmacist | 2001 4th Ave, San Diego, CA 92101-2303 | 2017-07-26 |
| 1457714222 | Laura Trovato | Pharmacist | 2001 4th Ave, San Diego, CA 92101-2303 | 2016-03-30 |
| 1912378746 | Martha E Martinez | Registered Nurse | 2001 4th Ave, San Diego, CA 92101-2303 | 2015-10-20 |
| 1558732511 | Toni Burgess | Registered Nurse | 2001 4th Ave, San Diego, CA 92101-2303 | 2015-10-15 |
| 1619318193 | Cathleen Margaret Uzunoglu | Physical Therapist | 2001 4th Ave, San Diego, CA 92101-2303 | 2013-07-11 |
| 1033558499 | Sarah Elizabeth Macguire | Registered Nurse | 2001 4th Ave, San Diego, CA 92101-2303 | 2013-06-19 |
| 1336588144 | Christine Di Eleuteria Tedeschi | Registered Nurse | 2001 4th Ave, San Diego, CA 92101-2303 | 2013-06-14 |
| 1760734784 | Osvelia Gastelum | Nurse Practitioner | 2001 4th Ave, San Diego, CA 92101-2303 | 2012-10-15 |
| 1467723098 | Viacheslav Pecherskiy | Internal Medicine | 2001 4th Ave, San Diego, CA 92101-2303 | 2012-01-12 |
| Find all providers in the same location | ||||
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1184233645 | Svr Medical PC | Internal Medicine | 4440 Euclid Ave Ste E, San Diego, CA 92115-4522 | 2020-07-30 |
| 1023639176 | Arthur Wong | Internal Medicine | 4222 Kansas St Unit 2, San Diego, CA 92104-1802 | 2020-04-29 |
| 1679102461 | Santosh Vetticaden | Internal Medicine | 6420 Mesa Norte Dr, San Diego, CA 92130-6852 | 2020-04-03 |
| 1225664964 | Andres Smith M.d. A Professional Medical Corporation | Internal Medicine | 6244 El Cajon Blvd Ste 29, San Diego, CA 92115-3918 | 2020-03-13 |
| 1154972388 | Kimberly Hall Fernandez | Internal Medicine | 700 W E St Unit 2101, San Diego, CA 92101-5993 | 2019-09-29 |
| 1992289300 | Sd Healthcare Solutions | Internal Medicine | 5943 Thorn St, San Diego, CA 92105-3916 | 2018-09-21 |
| 1992295331 | Alera Inc | Internal Medicine | 2667 Camino Del Rio S Ste 307-6, San Diego, CA 92108 | 2018-05-11 |
| 1275020844 | Lf Capital Inc | Internal Medicine | 438 Camino Del Rio S Ste 203, San Diego, CA 92108-3546 | 2018-04-18 |
| 1710401302 | Ca Post Acute Specialists PC | Internal Medicine | 3525 Del Mar Heights Rd # 966, San Diego, CA 92130-2199 | 2017-07-26 |
| 1063933604 | John Jackson Howard | Internal Medicine | 4616 Patricia Pl, San Diego, CA 92115-1934 | 2017-07-05 |
| 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.