PHILLIP DICKINSON (NPI# 1386737773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386737773 |
| Entity Type | Individual |
| Full Name | PHILLIP DICKINSON |
| Credential | M.D. |
| Practice Address |
8554 La Mesa Blvd La Mesa CA 91941 |
| Mailing Address |
Po Box 2213 La Mesa CA 91943-2213 |
| Practice Telephone | 6194644469 |
| Practice Fax Number | 6196390300 |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2018-08-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A86720 | CA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | A86720 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 420 Heffernan Ave Ste D, Calexico, CA 922314718 | 7602709126 | 7608900005 |
| Street Address |
8554 LA MESA BLVD |
| City | LA MESA |
| State | CA |
| Zip Code | 91941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861014599 | Southern California Surgical Inc | Surgery | 8554 La Mesa Blvd, La Mesa, CA 91942-9558 | 2020-05-15 |
| 1851728141 | Jeffrey Wannares | Surgery | 8554 La Mesa Blvd, La Mesa, CA 91942-9558 | 2013-10-01 |
| 1447501507 | Sinafikish T Tessema | Nurse Practitioner | 8554 La Mesa Blvd, La Mesa, CA 91942-9558 | 2012-09-28 |
| 1962734186 | La Mesa Surgical Services | Specialist | 8554 La Mesa Blvd, La Mesa, CA 91942-9558 | 2010-02-12 |
| 1467600270 | Phillip Dickinson, M.d., A Professional Corporation | Surgery | 8554 La Mesa Blvd, La Mesa, CA 91941-3958 | 2008-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659914588 | Aja Encinas | Midwife | 9461 Grossmont Summit Drive Suite A, La Mesa, CA 91941 | 2019-10-23 |
| 1750889861 | Kasey Higgins | Nurse Practitioner | 10862 Calle Verde # S93, La Mesa, CA 91941 | 2018-01-24 |
| 1801325238 | Edward Rabinovich, Dds, Inc. | Dentist | 3855 Avocado Blvd., Ste. 250, La Mesa, CA 91941 | 2017-06-08 |
| 1003204140 | Cierra Lancaster | Case Manager/Care Coordinator | 4287 Palm Ave #32, La Mesa, CA 91941 | 2014-12-23 |
| 1710388533 | Affordable In Home Care | Home Health | 7953 Lemon Circle, La Mesa, CA 91941 | 2014-09-11 |
| 1902206063 | Rachel Llanes | Marriage & Family Therapist | 4849 Schuyler Avenue, La Mesa, CA 91941 | 2014-08-26 |
| 1497185540 | Benjamin J Mandel | Dentist | 3835 Avocado Blvd #220, Lamesa, CA 91941 | 2013-11-26 |
| 1487084901 | Accuquest Hearing Centers | Clinic/Center | 5105 Garfield Street, La Mesa, CA 91941 | 2013-11-19 |
| 1447551353 | John Chuol Kuek | Marriage & Family Therapist | 4060 Fairmount Avenue, San Diego, CA 91941 | 2010-11-09 |
| 1588808463 | Aesthetic Arts Institute of Plastic Surgery, LLC | Clinic/Center | 8415 Grant Avenue, La Mesa, CA 91941 | 2009-04-23 |
| Find all providers in zip 91941 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922169036 | Patricia K Deckert | Family Medicine | 8911 La Mesa Blvd Ste 101, La Mesa, CA 91942-9000 | 2006-12-12 |
| 1609988476 | Joanna D Nawroski-wozniak | Family Medicine | 7339 El Cajon Blvd Ste I, La Mesa, CA 91942-7435 | 2006-08-31 |
| 1013927425 | Flora Ishihara Danque | Family Medicine | 7918 El Cajon Blvd, Suite N322, La Mesa, CA 91942-6719 | 2006-08-08 |
| 1336168418 | Corinne Jean Ancona Young | Family Medicine | 8881 Fletcher Pkwy Ste 205, La Mesa, CA 91942-3187 | 2006-07-19 |
| 1104844380 | Joseph P Aiello | Family Medicine | 8875 La Mesa Blvd, La Mesa, CA 91942-5434 | 2006-07-17 |
| 1487672572 | George D Gibson | Family Medicine | 8875 La Mesa Blvd Ste C, La Mesa, CA 91941-5134 | 2006-07-17 |
| 1114944899 | Paula Leibham | Family Medicine | 5525 Grossmont Center Dr Ste 200, La Mesa, CA 91942-3009 | 2006-07-17 |
| 1568435923 | Christine Mae Nordling | Family Medicine | 8881 Fletcher Pkwy Ste 105, La Mesa, CA 91942-3132 | 2006-02-08 |
| 1588642847 | Joseph Aquilina | Family Medicine | 8851 Center Drive Suite 500, La Mesa, CA 91942 | 2006-01-06 |
| 1255322137 | Harold Isenberg | Family Medicine | 4833 Altito Way, La Mesa, CA 91941-4442 | 2005-10-31 |
| 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.