STEPHEN L. GOTTLIEB (NPI# 1386711232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386711232 |
| Entity Type | Individual |
| Full Name | STEPHEN L. GOTTLIEB |
| Credential | MD |
| Practice Address |
4405 Vandever Ave San Diego CA 92120-3315 |
| Mailing Address |
393 E Walnut St 3rd Floor Phr Systems Pasadena CA 91188-0001 |
| Practice Telephone | 6195285000 |
| Mailing Telephone | 0000000000 |
| Mailing Fax Number | 0000000000 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
G33122 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G331220 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558508390 | Stephen Simcha Gottlieb | Acupuncturist | 1265 Ne 174th St, North Miami Beach, FL 33162-1234 | 2009-01-15 |
| 1306808894 | Stephen S Gottlieb | Internal Medicine | 22 S Greene St, Baltimore, MD 21201-1544 | 2006-04-03 |
| Street Address |
4405 VANDEVER AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120-3315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679553101 | Jennifer Lin Khoe | Surgery | 4405 Vandever Ave, San Diego, CA 92120-3315 | 2006-01-19 |
| 1174162515 | Yana Kalendareva | Pharmacist | 4405 Vandever Ave, San Diego, CA 92120-3315 | 2020-01-02 |
| 1063977262 | Tiffany Cheng | Pharmacist | 4405 Vandever Ave, San Diego, CA 92120-3315 | 2019-02-01 |
| 1982182226 | Cheryl Z Bergman | Respiratory Therapist, Registered | 4405 Vandever Ave, San Diego, CA 92120-3315 | 2018-07-30 |
| 1518445832 | Marina Lenkov | Respiratory Therapist, Registered | 4405 Vandever Ave, San Diego, CA 92120-3315 | 2018-07-30 |
| 1841739646 | Denise Le | Pharmacist | 4405 Vandever Ave, 1st Floor Pharmacy, San Diego, CA 92120-3315 | 2017-02-14 |
| 1679011670 | Quynhhuong Dao | Pharmacist | 4405 Vandever Ave, 1st Floor Pharmacy, San Diego, CA 92120-3315 | 2017-02-09 |
| 1790223212 | Kaiser | Special Hospital | 4405 Vandever Ave, San Diego, CA 92120-3315 | 2017-02-03 |
| 1750768214 | Michelle Malilim | Pharmacist | 4405 Vandever Ave, San Diego, CA 92120-3315 | 2015-05-04 |
| 1710396585 | Phuong Thao Do | Pharmacist | 4405 Vandever Ave, San Diego, CA 92120-3315 | 2014-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
| 1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
| 1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
| 1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
| 1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
| 1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
| 1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
| 1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
| Find all providers in zip 92120 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1386113348 | Samir B Damani Md Inc | Internal Medicine | 9191 Towne Centre Dr Ste 510, San Diego, CA 92122-1231 | 2018-11-20 |
| 1861757544 | Kevin Shah | Internal Medicine | 200 W Arbor Dr # 8422, San Diego, CA 92103-1911 | 2012-07-10 |
| 1790084143 | Vartan Nubar Garibyan | Internal Medicine | 4060 4th Ave Ste 500, San Diego, CA 92103-2121 | 2011-03-24 |
| 1780846881 | Julia G Ansari | Internal Medicine | 3131 Berger Ave Ste 200, San Diego, CA 92123-4203 | 2008-06-30 |
| 1902005176 | Stanley D. Skaggs, M.d. Inc | Internal Medicine | 12985 Claymont Ct, San Diego, CA 92130-2431 | 2007-07-17 |
| 1609906841 | Laurence Dekanter Favrot | Internal Medicine | 3526 7th Ave, San Diego, CA 92103-5009 | 2007-03-06 |
| 1649314873 | Julian Howard Jacobs | Internal Medicine | 14107 Capewood Ln, San Diego, CA 92128-4208 | 2007-02-19 |
| 1811063316 | Daniel Robert Collins | Internal Medicine | 4647 Zion Ave., San Diego, CA 92120-3724 | 2006-11-27 |
| 1366523607 | H Kirk Hammond | Internal Medicine | 3350 La Jolla Village Dr # 111a, San Diego, CA 92161-0002 | 2006-10-17 |
| 1962598425 | Tri Thuong Nguyen | Internal Medicine | 4344 Convoy St. Ste T ., San Diego, CA 92111-3737 | 2006-10-04 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on STEPHEN L. GOTTLIEB.
| 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.