JAMES BERNARD CARRY II (NPI# 1285693424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285693424 |
| Entity Type | Individual |
| Full Name | JAMES BERNARD CARRY II |
| Credential | M.D. |
| Practice Address |
5555 Grossmont Center Drive La Mesa CA 91944-0158 |
| Mailing Address |
P.o. Box 2877 La Mesa CA 91943-2877 |
| Practice Telephone | 6197404492 |
| Practice Fax Number | 6197404418 |
| Mailing Telephone | 6197404941 |
| Mailing Fax Number | 6197404418 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2011-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZC0500X |
Pathology Specialization: Cytopathology |
G39979 | CA | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
G-39979 | CA | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
G39979 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DHS PPIN | WG399790 | 01 |
| Street Address |
5555 GROSSMONT CENTER DRIVE |
| City | LA MESA |
| State | CA |
| Zip Code | 91944-0158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023545779 | Dustin Trong Nguyen | Pharmacist | 5555 Grossmont Center Drive, A217, La Mesa, CA 91942 | 2017-05-12 |
| 1164794673 | Mohamed Hassanein | Internal Medicine | 5555 Grossmont Center Drive, La Mesa, CA 91942 | 2012-01-30 |
| 1487795811 | Hung Vu | Emergency Medicine | 5555 Grossmont Center Drive, La Mesa, CA 91942-3019 | 2007-02-09 |
| 1841304508 | Susan Van Nordheim | Nurse Practitioner | 5555 Grossmont Center Drive, La Mesa, CA 91942 | 2006-08-19 |
| 1699783233 | Donald J Butera | Emergency Medicine | 5555 Grossmont Center Drive, La Mesa, CA 91942-3019 | 2006-08-03 |
| 1871526327 | William J Linnik | Emergency Medicine | 5555 Grossmont Center Drive, La Mesa, CA 91942-3019 | 2006-07-08 |
| 1841220860 | Kellie Freeborn | Emergency Medicine | 5555 Grossmont Center Drive, La Mesa, CA 91942-3019 | 2006-07-04 |
| 1144258963 | Joseph Witkin | Emergency Medicine | 5555 Grossmont Center Drive, La Mesa, CA 91942-3019 | 2006-06-29 |
| 1811924764 | Kevin M. Kelly Jr. | Emergency Medicine | 5555 Grossmont Center Drive, La Mesa, CA 91942-3019 | 2006-06-27 |
| 1467496265 | Peter Colaprete | Emergency Medicine | 5555 Grossmont Center Drive, La Mesa, CA 91942-3019 | 2006-06-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649593260 | Bruce H Pinney | Case Manager/Care Coordinator | P.o. Box, La Mesa, CA 91944 | 2010-03-10 |
| 1336203868 | Douglas Cragin | Psychiatry & Neurology | Po Box 236, La Mesa, CA 91944-0236 | 2006-12-20 |
| 1720136385 | Grossmont Union High School District | Local Education Agency (LEA) | 1100 Murray Dr, La Mesa, CA 91944-1043 | 2007-01-08 |
| 1578621777 | Walter C Emery | Anesthesiology | 5555 Grossmont Center Dr, La Mesa, CA 91944-3617 | 2006-12-04 |
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
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| 1093277956 | Shajia Rahman Ansari | Pathology | 38558 Vancouver Cmn, Fremont, CA 94536-4056 | 2019-04-01 |
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| 1710457510 | University of California Sfgh Medical Group | Pathology | 1001 Potrero Ave Rm 2m14, San Francisco, CA 94110-3518 | 2018-12-05 |
| 1770053233 | Samuel Jason Guzman | Pathology | 10026 Karmont Ave, South Gate, CA 90280-5417 | 2018-11-27 |
| 1144799750 | Penguin Medical Group, Inc | Pathology | 11 W Del Mar Blvd Ste 201, Pasadena, CA 91105-2593 | 2018-11-13 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| 1972080752 | Boris Shlopov Md Pathology Medical Corporation | Pathology | 800 S Main, Corona, CA 92882 | 2018-07-24 |
| 1902383920 | Ntr Resources, LLC | Pathology | 17433 Nordhoff, Northridge, CA 91325 | 2018-07-23 |
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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.