EJD MEDICAL CORPORATION (NPI# 1295962082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295962082 |
| Entity Type | Organization |
| Organization Name | EJD MEDICAL CORPORATION |
| Other Organization Name | RB SPINE CENTER |
| Practice Address |
10801 Thornmint Rd Suite 250 San Diego CA 92127-2423 |
| Practice Telephone | 8583454887 |
| Practice Fax Number | 8554500999 |
| Mailing Telephone | 8583454887 |
| Mailing Fax Number | 8554500999 |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2015-03-11 |
| Authorized Official Name | RICHARD MANTELL (PRESIDENT) |
| Authorized Official Telephone | 8583454887 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A39992 | CA | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A75879 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| RB Spine Center | Doing Business As Name - Organization |
| Street Address |
10801 THORNMINT RD SUITE 250 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92127-2423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669872354 | Nataliya Stogniy | Contractor | 10801 Thornmint Rd, 250, San Diego, CA 92127-1080 | 2014-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740800325 | Jacob New | Student in an Organized Health Care Education/Training Program | 10790 Rancho Bernardo Rd., Mail Drop 4s-205, San Diego, CA 92127 | 2020-04-23 |
| 1376174946 | Marjorie Francisco Noy | Social Worker | 16550 W. Bernardo Drive, Bldg. 8/1688n, San Diego, CA 92127 | 2020-01-31 |
| 1295253839 | Chelsea Saville | Physical Therapist | 16680 West Bernardo Drive, San Diego, CA 92127 | 2017-09-05 |
| 1558881862 | Dianna Christine Goodwin | Social Worker | 11031 Via Frontera Suite C, San Diego, CA 92127 | 2017-06-27 |
| 1164966495 | Kelsey Michaela Bright | Specialist/Technologist | 15778 Camino Crisalida, San Diego, CA 92127 | 2016-12-06 |
| 1588112924 | Orenda Recovery | Substance Abuse Rehabilitation Facility | 8110 Twilight Point Way, San Diego, CA 92127 | 2016-09-14 |
| 1063868560 | Jung Oh | Pharmacist | 18087 Valladares Drive, San Diego, CA 92127 | 2016-05-13 |
| 1225496524 | Davey Dental Corp | Dentist | 16460 Paseo Del Sur, Suite 105, San Diego, CA 92127 | 2016-02-02 |
| 1942673496 | Davey Dental Corporation | Dentist | 1640 Paseo Del Sur, Suite 105, San Diego, CA 92127 | 2015-11-05 |
| 1164800025 | Maryam Derakhshani | Dentist | 10960 La Alberca Avenue, San Diego, CA 92127 | 2015-05-12 |
| Find all providers in zip 92127 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902451263 | Kimberly M. Sandberg, Rn, Cran, A Professional Corporation | Psychiatry & Neurology | 4520 Executive Dr Ste 227, San Diego, CA 92121-3020 | 2019-08-05 |
| 1992261374 | Del Mar Brain & Neurostar Tms Inc. | Psychiatry & Neurology | 12264 El Camino Real Ste 202, San Diego, CA 92130-3061 | 2019-02-11 |
| 1225579006 | Lg Aguilar Tabora, Md Inc | Psychiatry & Neurology | 8650 Genessee Ave. Ste 214, #8684, San Diego, CA 92192-8684 | 2017-03-14 |
| 1851725600 | Calneuros, A Professional Medical Corporation | Psychiatry & Neurology | 16766 Bernardo Center Dr Ste 213, San Diego, CA 92128 | 2013-08-29 |
| 1396010856 | Bertrand Liang | Psychiatry & Neurology | 10357 Longdale Pl, San Diego, CA 92131-6126 | 2012-03-16 |
| 1548530157 | Richard Irwin Rowen | Psychiatry & Neurology | 5482 Drover Dr, San Diego, CA 92115-1127 | 2012-01-12 |
| 1457583825 | Leonard J. Gosink | Psychiatry & Neurology | 2403 Romney Rd, San Diego, CA 92109-1559 | 2009-08-18 |
| 1205068210 | David J Croteau | Psychiatry & Neurology | 150 W Washington St Fl 2, San Diego, CA 92103-2005 | 2009-08-10 |
| 1326290339 | Monali Sarjan Patel | Psychiatry & Neurology | 7625 Mesa College Dr Ste 200a, San Diego, CA 92111-5343 | 2008-10-21 |
| 1215188701 | Brenton Alan Wright | Psychiatry & Neurology | 4510 Executive Dr Ste 325, San Diego, CA 92121-3069 | 2008-10-02 |
| 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.