DR. DAVID JOHN PECK (NPI# 1336152313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336152313 |
| Entity Type | Individual |
| Full Name | DR. DAVID JOHN PECK |
| Credential | D.O. |
| Practice Address |
5525 Grossmont Center Dr La Mesa CA 91942-3009 |
| Practice Telephone | 8584992777 |
| Mailing Telephone | 8584992777 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207P00000X | Emergency Medicine | 20A5533 | CA | Allopathic & Osteopathic Physicians |
| X | 207Q00000X | Family Medicine | 20A5533 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00AX55330 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199648 | David Ford Peck Jr. | Marriage & Family Therapist | 1738 Union St Ste 302, San Francisco, CA 94123-4425 | 2020-09-16 |
| 1740815539 | David Peck | Driver | 853 S 17th St, Fort Dodge, IA 50501-5345 | 2020-03-11 |
| 1316001696 | David Ira Peck | Dentist | 174 Worthington St, Springfield, MA 01103-1220 | 2006-12-20 |
| 1598831398 | David A Peck | Nurse Practitioner | 500 E. Webster, Chewelah, WA 99109 | 2006-11-27 |
| 1851486625 | David Paul Peck | Optometrist | 1201 10th St, Woodward, OK 73801-3107 | 2006-10-04 |
| 1619260627 | David Peck | Pharmacist | 3400 Dudley Ave, Parkersburg, WV 26104-1810 | 2011-05-24 |
| 1063663326 | David Robert Peck | Physician Assistant | 852 Dacula Rd, Dacula, GA 30019 | 2008-10-06 |
| 1124103130 | David L Peck | Specialist | 1130 Belt Line Rd Ste 100, Garland, TX 75040-3668 | 2006-10-26 |
| 1114940392 | David B Peck | Physician Assistant | 200 Memorial Avenue, Carroll Hospital Center, Westminster, MD 21157-5799 | 2006-07-26 |
| 1023038098 | David Fraser Peck | Physician Assistant | 1500 East Medical Center Dr, B1 Floor University Hospital Recp C, Ann Arbor, MI 48109-5030 | 2006-07-20 |
| Street Address |
5525 GROSSMONT CENTER DR |
| City | LA MESA |
| State | CA |
| Zip Code | 91942-3009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164421012 | Lee Hyland Remington-boone | Family Medicine | 5525 Grossmont Center Dr, Suite 200, La Mesa, CA 91942-3009 | 2005-07-21 |
| 1679023303 | James Sullivan | Pharmacist | 5525 Grossmont Center Dr, La Mesa, CA 91942-3009 | 2016-10-05 |
| 1033565940 | James Williams | Pharmacist | 5525 Grossmont Center Dr, La Mesa, CA 91942-3009 | 2016-05-10 |
| 1255792438 | Lisa Schnurr | Family Medicine | 5525 Grossmont Center Dr, La Mesa, CA 91942-3009 | 2016-03-15 |
| 1417316696 | Hollis Taggart Stahl | Physician Assistant | 5525 Grossmont Center Dr, La Mesa, CA 91942-3009 | 2016-02-17 |
| 1598124133 | Hong Tran | Pharmacist | 5525 Grossmont Center Dr, La Mesa, CA 91942-3009 | 2016-02-10 |
| 1578928321 | Thanhtruc Hoang Phan | Nurse Practitioner | 5525 Grossmont Center Dr, La Mesa, CA 91942-3009 | 2015-12-22 |
| 1730593559 | Susette Var | Family Medicine | 5525 Grossmont Center Dr, La Mesa, CA 91942-3009 | 2014-06-19 |
| 1154746535 | Victoria Sharma Md Inc | Specialist | 5525 Grossmont Center Dr, 602, La Mesa, CA 91942-3009 | 2014-02-21 |
| 1487093126 | Maila Alindog Marinas | Registered Nurse | 5525 Grossmont Center Dr, La Mesa, CA 91942-3009 | 2013-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
| Find all providers in zip 91942 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598799389 | Andrew B Spackman | Emergency Medicine | 5555 Grossmont Center, La Mesa, CA 91942-3019 | 2006-07-10 |
| 1043606916 | David Miles | Emergency Medicine | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2015-04-08 |
| 1912392846 | Joshua Kamnetz | Emergency Medicine | 5555 Grossmont Center Dr, La Mesa, CA 91942 | 2015-03-28 |
| 1124435896 | Tania Portillo | Emergency Medicine | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2014-07-15 |
| 1255694238 | Jehnan Liu | Emergency Medicine | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2012-06-24 |
| 1154683787 | Eric Einstein | Emergency Medicine | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2012-06-11 |
| 1124384706 | John Kim | Emergency Medicine | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2012-04-08 |
| 1649552621 | Jolene Miller | Emergency Medicine | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2011-09-15 |
| 1619265675 | Daniel Chang | Emergency Medicine | 5525 Grossmont Center Dr, La Mesa, CA 91942-3009 | 2011-07-12 |
| 1386938397 | Andre Boustani | Emergency Medicine | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2011-06-07 |
| Find all providers in LA MESA | ||||
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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.