PEDIATRIC SPECIALTY PARTNERS INC. (NPI# 1316416118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316416118 |
Entity Type | Organization |
Organization Name | PEDIATRIC SPECIALTY PARTNERS INC. |
Practice Address |
8929 University Center Ln Ste 208 San Diego CA 92122-1054 |
Practice Telephone | 8586250809 |
Practice Fax Number | 8586250835 |
Mailing Telephone | 8586250809 |
Mailing Fax Number | 8586250835 |
Enumeration Date | 2018-11-21 |
Last Update Date | 2018-11-21 |
Authorized Official Name | DR. REBECCA NAOMI CHERRY (PHYSICIAN/OWNER) |
Authorized Official Telephone | 8586250809 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians | ||
N | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
Allopathic & Osteopathic Physicians | ||
Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
Allopathic & Osteopathic Physicians |
Street Address |
8929 UNIVERSITY CENTER LN STE 208 |
City | SAN DIEGO |
State | CA |
Zip Code | 92122-1054 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912561630 | Neal Yacoo | Pharmacist | 9085 Judicial Drive #2137, San Diego, CA 92122 | 2019-04-29 |
1598242828 | Gena Rachel Katzer | Social Worker | 3246 Willard St, San Diego, CA 92122 | 2018-07-19 |
1164919791 | Janine Marie Battaglia | Nurse Practitioner | Scripps Health Express, 4350 La Jolla Villlage Drive Ste 130, San Diego, CA 92122 | 2018-04-19 |
1669991899 | Lindsay Y Ditmars | Pharmacist | 7545 Charmant Dr. #1322, 1322, San Diego, CA 92122 | 2017-09-19 |
1154747103 | Rebecca Jackson | Nurse Practitioner | 3655 Nobel Drive, Suite 660, Peak Health Solutions, San Diego, CA 92122 | 2014-03-14 |
1851726582 | Grace Lorelei Allen | Doula | 2728 Nansen Avenue, San Diego, CA 92122 | 2013-09-12 |
1427301894 | Barry Katzman, M.d., Inc., Apc | Optometrist | 4413 Lajolla Village Dr., Spc. P1, San Diego, CA 92122 | 2012-10-22 |
1912295361 | Yingjian Liang | Psychiatry & Neurology | Gillman Drive 9500, San Diego, CA 92122 | 2011-07-19 |
1467775486 | David Michael Trejo | Psychologist | 5080 Shoreham Place, Suite 103, San Diego, CA 92122 | 2010-03-04 |
1225369556 | Jeffrey J Abrams | Internal Medicine | 3395 Willard St, San Diego, CA 92122 | 2010-01-27 |
Find all providers in zip 92122 |
Taxonomy Code | 2080P0206X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Gastroenterology |
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821083338 | Hayat Mousa | Pediatrics | 8110 Birmingham Way, San Diego, CA 92123-2758 | 2005-09-12 |
1598029332 | Nidhi Pandhoh Goyal | Pediatrics | 8110 Birmingham Way, San Diego, CA 92123-2758 | 2012-06-26 |
1285994921 | Maria Lourdes Herrera | Pediatrics | 3020 Childrens Way # Mc5124, San Diego, CA 92123-4223 | 2012-05-28 |
1538485586 | Elizabeth Louise Yu | Pediatrics | 8110 Birmingham Way, San Diego, CA 92123-2758 | 2010-04-15 |
1932328747 | Mamata Sivagnanam | Pediatrics | 8110 Birmingham Way, Bldg 28, San Diego, CA 92123-2758 | 2007-04-24 |
1477620300 | Warren L. Shapiro | Pediatrics | 8110 Birmingham Way, Bldg 28, San Diego, CA 92123-2758 | 2006-11-29 |
1114098969 | Sherry Chu-sing Huang | Pediatrics | 8110 Birmingham Way, San Diego, CA 92123-2758 | 2006-11-13 |
1013088871 | Jeannie Shih Huang | Pediatrics | 8110 Birmingham Way, San Diego, CA 92123-2758 | 2006-11-13 |
1932270782 | Jeffrey Barnett Schwimmer | Pediatrics | 8110 Birmingham Way, San Diego, CA 92123-2758 | 2006-11-13 |
1427140839 | David Brent Polk | Pediatrics | 3030 Childrens Way, San Diego, CA 92123-4232 | 2006-09-30 |
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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.