CARL R TASSISTRO (NPI# 1346590411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346590411 |
| Entity Type | Individual |
| Full Name | CARL R TASSISTRO |
| Credential | M.D. |
| Practice Address |
29525 Circle R Greens Dr Escondido CA 92026-5913 |
| Practice Telephone | 7602971551 |
| Mailing Telephone | 7602971551 |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-09-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G13416 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| THE MEDICAL BOARD OF CALIFORNIA | G13416 | 01 |
| Street Address |
29525 CIRCLE R GREENS DR |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92026-5913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477908663 | Nancy Martinez-molano | Counselor | 1029 N. Broadway Avenue, Escondido, CA 92026 | 2016-04-26 |
| 1114322765 | Christina Boekamp | Speech-Language Pathologist | 1325 Las Villas Way, Escondido, CA 92026 | 2014-10-24 |
| 1609170356 | Pectus Services of Southern California LLC | Durable Medical Equipment & Medical Supplies | 317 N. Elcamino Real, Suite 502, Encinitas, CA 92026 | 2011-01-10 |
| 1518277987 | Maryam Delsen | Social Worker | 1029 N. Broadway Ave., Escondido, CA 92026 | 2010-10-19 |
| 1528372554 | Shirley Dianne Kunkel | Speech-Language Pathologist | 9649 Galatea Lane, Escondido, CA 92026 | 2010-08-02 |
| 1124295266 | Kendell Hales Ricks | Dentist | 8895 Lawrence Welk Dr, Escondido, CA 92026 | 2008-05-08 |
| 1861517005 | Mountain Shadows Support Group, Inc | Nursing Facility/Intermediate Care Facility | 4840 Fairhill Place, Riverside, CA 92026 | 2007-03-20 |
| 1982731253 | Cynthia Louise Canney | Marriage & Family Therapist | 502 W. El Norte Parkway, Excondido, CA 92026 | 2007-02-27 |
| 1992891790 | Vijaya Kv Prabhu | Dentist | El Norte Family Dental., 306 W.el Norte Pkwy. Suite D & E, Escondido, CA 92026 | 2006-10-05 |
| 1174065403 | Rashida Black | Counselor | 1341 N Escondido Blvd, Escondido, CA 92026 | 2016-11-17 |
| Find all providers in zip 92026 | ||||
| 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 |
|---|---|---|---|---|
| 1639692585 | California Emergency Physicians Medical Group, A Professional Corp | Internal Medicine | 930 Monticello Dr, Escondido, CA 92029-4432 | 2017-07-24 |
| 1114375060 | California Emergency Physicians Medical Group, A Professional Corporat | Internal Medicine | 1025 W 2nd Ave, Escondido, CA 92025-3839 | 2016-06-01 |
| 1396002895 | Peter A Orner | Internal Medicine | 11628 Alps Way, Escondido, CA 92026-7011 | 2012-04-20 |
| 1699784934 | Alan T. Chang | Internal Medicine | 332 S Juniper St, Suite 100, Escondido, CA 92025-4940 | 2006-08-05 |
| 1043236292 | Karin C. Kordas | Internal Medicine | 215 S Hickory St Ste 118, Escondido, CA 92025-4304 | 2006-07-14 |
| 1215963905 | Rachel Bacon | Internal Medicine | 641 E Pennsylvania Ave Ste 102, Escondido, CA 92025-3047 | 2006-06-24 |
| 1033197082 | Tariq M Dastagir | Internal Medicine | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2006-01-09 |
| 1205817673 | Dean C Tasher | Internal Medicine | 1035 E Grand Ave, Escondido, CA 92025-4601 | 2005-11-10 |
| 1265922827 | California Emergency Physicians Medical Group A Professional Corp | Internal Medicine | 1980 Felicita Rd, Escondido, CA 92025-5922 | 2018-05-18 |
| 1871015859 | California Emergency Physicians Medical Group, A Professional Corp | Internal Medicine | 1817 Avenida Del Diablo, Escondido, CA 92029-3112 | 2017-07-12 |
| Find all providers in ESCONDIDO | ||||
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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.