PERSONAL PHYSICIANS GROUP, INC. (NPI# 1477500189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477500189 |
| Entity Type | Organization |
| Organization Name | PERSONAL PHYSICIANS GROUP, INC. |
| Practice Address |
1685 E Main St Suite 202 El Cajon CA 92021-5225 |
| Practice Telephone | 6195798681 |
| Practice Fax Number | 6195790759 |
| Mailing Telephone | 6195798681 |
| Mailing Fax Number | 6195790759 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | VENU PRABAKER (PRESIDENT) |
| Authorized Official Telephone | 6195798681 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FICTITIOUS NAME PERMIT | FNP 34594 | 01 |
| Street Address |
1685 E MAIN ST SUITE 202 |
| City | EL CAJON |
| State | CA |
| Zip Code | 92021-5225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053367755 | Catherine Maywood | Specialist | 1685 E Main St, Suite 202, El Cajon, CA 92021-5225 | 2006-05-25 |
| 1902340334 | Ashley Marie Hurt | Nurse Practitioner | 1685 E Main St, El Cajon, CA 92021-5225 | 2016-12-04 |
| 1578918058 | Rachel Stern | Nurse Practitioner | 1685 E Main St, Suite 300, El Cajon, CA 92021-5225 | 2016-05-03 |
| 1831596865 | Iyabo Daramola Md Inc | Internal Medicine | 1685 E Main St, Suite 102, El Cajon, CA 92021-5225 | 2014-11-19 |
| 1083786867 | Entag Inc | Pharmacy | 1685 E Main St, Ste 101, El Cajon, CA 92021-5225 | 2006-11-15 |
| 1871532309 | Gyoung J Park | Specialist | 1685 E Main St, Suite 202, El Cajon, CA 92021-5225 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728498 | Hala Kadhem | Counselor | 1664 Broadway, El Cajon, San Diego, CA 92021 | 2020-07-30 |
| 1891331021 | Medevac Inc | Ambulance | 8025 Tone Lane, El Cajon, CA 92021 | 2019-11-22 |
| 1760024095 | San Diego Health Alliance, Inc. | Clinic/Center | 1625 East Main Street, El Cajon, CA 92021 | 2019-10-08 |
| 1295388932 | Coleen Stacie Cobbs | Social Worker | 1013 Greta Street, El Cajon, CA 92021 | 2019-07-22 |
| 1144744475 | Sarah Kala | Pharmacist | 505 N Mollison Ave #102, El Cajon, CA 92021 | 2017-07-28 |
| 1699139816 | Mayra Aranda | Counselor | 1679 East Main Street, Suite 102, El Cajon, CA 92021 | 2016-04-13 |
| 1942603436 | Scott Crusey | Counselor | 1679 East Main Street, Suite 102, El Cajon, CA 92021 | 2014-09-29 |
| 1104254317 | Naimh Martin | Counselor | 1630 E Main Street, El Cajon, CA 92021 | 2013-10-25 |
| 1386875540 | Jacqueline Vu Luong | Marriage & Family Therapist | 1000 Broadway #100, El Cajon, CA 92021 | 2009-08-05 |
| 1740444264 | Peter Morhan Sun | General Practice | 7957 Bevin Lane, El Cajon, CA 92021 | 2008-07-14 |
| Find all providers in zip 92021 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033578281 | Murdock Physical Therapy Inc. | Specialist | 2163 Shire Dr, El Cajon, CA 92019-2657 | 2016-02-16 |
| 1811105174 | Ursula Robertson | Specialist | 2340 Tampa Ave Ste A, El Cajon, CA 92020-2842 | 2007-05-18 |
| 1306068903 | John Carlos Thompson Md A Professional Corporation | Specialist | 1625 E Main Street, Ste 201, El Cajon, CA 92021 | 2007-05-03 |
| 1740300433 | Fe Alma Gifford | Specialist | 448 S Magnolia Ave, El Cajon, CA 92020-5213 | 2007-03-29 |
| 1861547028 | Shawna Deann Baker | Specialist | 2100 Greenfield Drive, Kinesiology Athletics, El Cajon, CA 92019-1161 | 2007-01-25 |
| 1336167618 | Christopher H Hsu | Specialist | 225 W Madison Ave, Suite 1, El Cajon, CA 92020 | 2006-07-17 |
| 1053367755 | Catherine Maywood | Specialist | 1685 E Main St, Suite 202, El Cajon, CA 92021-5225 | 2006-05-25 |
| 1861874422 | Matthew Mccall | Specialist | 1625 E Main St Ste 101, El Cajon, CA 92021-5241 | 2015-06-19 |
| 1043636434 | Allison Laygo | Specialist | 1625 E Main St Ste 101, El Cajon, CA 92021-5241 | 2014-03-11 |
| 1396910048 | E. Paul Dietsch Hearing Aids, Inc. | Specialist | 689 E Main St, El Cajon, CA 92020-4009 | 2008-04-24 |
| Find all providers in EL CAJON | ||||
Please comment or provide details below to improve the information on PERSONAL PHYSICIANS GROUP, INC..
| 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.