PAUL T ISHIMINE (NPI# 1437184421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437184421 |
| Entity Type | Individual |
| Full Name | PAUL T ISHIMINE |
| Credential | MD |
| Practice Address |
9300 Campus Point Drive La Jolla CA 92037 |
| Mailing Address |
File No. 54826 Los Angeles CA 90074-4826 |
| Practice Telephone | 8586577000 |
| Mailing Telephone | 8884864380 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | A79142 | CA | Allopathic & Osteopathic Physicians |
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
A79142 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A791420 | 05 |
| Street Address |
9300 CAMPUS POINT DRIVE |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578504932 | Elaine M Sapiro | Emergency Medicine | 9300 Campus Point Drive, La Jolla, CA 92037 | 2006-06-09 |
| 1699302901 | Renee Sullender | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc 7433, La Jolla, CA 92037 | 2020-03-25 |
| 1346880937 | Linda Dean | Pharmacist | 9300 Campus Point Drive, Pharmacy Department Mail Code 7765, La Jolla, CA 92037-1300 | 2020-01-10 |
| 1609308162 | Lydia Russell-roy | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc 7433, La Jolla, CA 92037-7433 | 2017-04-03 |
| 1720472657 | Kenneth Pengyu Chen | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, La Jolla, CA 92037 | 2015-03-28 |
| 1508286964 | Antonie Meixel | Pediatrics | 9300 Campus Point Drive, Mc 7774, La Jolla, CA 92037-1300 | 2014-04-23 |
| 1619396348 | Nicholas Brian Coley | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Eastern Campus Office Building, La Jolla, CA 92121 | 2014-04-09 |
| 1558603654 | Christine Choi | Anesthesiology | 9300 Campus Point Drive, La Jolla, CA 92093-2621 | 2013-03-27 |
| 1104972975 | Ann C Rearden | Pathology | 9300 Campus Point Drive, Mc 0612, La Jolla, CA 92037-0612 | 2007-01-26 |
| 1174603732 | Michael C Young | Emergency Medicine | 9300 Campus Point Drive, La Jolla, CA 92037 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407396328 | Brian Forster | Emergency Medicine | 11234 Anderson St Ste A890, Loma Linda, CA 92354-2804 | 2017-02-24 |
| 1588921241 | Guillermo Alberto De Angulo | Emergency Medicine | 1189 Welch Rd, Palo Alto, CA 94304-1905 | 2012-04-19 |
| 1093903262 | Mydili R. Maniam-mohan | Emergency Medicine | 6255 N Fresno St, Ste 106, Fresno, CA 93710-5271 | 2007-10-12 |
| 1255538450 | Julia Nicole Magana | Emergency Medicine | 4150 V St Ste 2100, Sacramento, CA 95817 | 2007-06-29 |
| 1902008733 | Nobuaki Inoue | Emergency Medicine | Llumc House Staff Office Cp 21005, 11234 Anderson Street, Loma Linda, CA 92354 | 2007-06-04 |
| 1891865689 | Michael Dmitri Bell | Emergency Medicine | 717 52nd St, Emergency Dept Childrens Hospital Oakland, Oakland, CA 94609 | 2006-11-08 |
| 1265527741 | Sharon Louise Morozumi | Emergency Medicine | 260 International Circle, San Jose, CA 95119 | 2006-10-03 |
| 1891706933 | Jin H Heur | Emergency Medicine | 1500 E Chevy Chase Dr, Suite 250, Glendale, CA 91206-4152 | 2006-08-11 |
| 1013982826 | Lara Zibners | Emergency Medicine | 3620 Kiekebusch Ct, Carmichael, CA 95608-2840 | 2006-02-23 |
| 1063959153 | Gabriela Moriel | Emergency Medicine | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2017-01-26 |
| Find all providers with the same taxonomy | ||||
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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.