JOSE E OTERO MD INC (NPI# 1497112999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497112999 |
| Entity Type | Organization |
| Organization Name | JOSE E OTERO MD INC |
| Practice Address |
6367 Alvarado Ct Ste 104 San Diego CA 92120-4914 |
| Practice Telephone | 6192291211 |
| Practice Fax Number | 6192291141 |
| Mailing Telephone | 6192291211 |
| Mailing Fax Number | 6192291141 |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |
| Authorized Official Name | DR. JOSE ENRIQUE OTERO (OWNER) |
| Authorized Official Telephone | 6192291211 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
A30334 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
6367 ALVARADO CT STE 104 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120-4914 |
| 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 | 2082S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Surgery of the Hand |
| A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346541406 | Michael J. Halls, M.d., Apc | Plastic Surgery | 6386 Alvarado Ct, Suite 330, San Diego, CA 92120-4905 | 2010-11-05 |
| 1518097344 | David M. Kupfer, M.d., Inc. | Plastic Surgery | 3434 Midway Dr, Suite 2004, San Diego, CA 92110-4923 | 2007-03-07 |
| 1073533899 | David Michael Kupfer | Plastic Surgery | 3434 Midway Dr, Suite 2004, San Diego, CA 92110-4923 | 2006-07-21 |
| 1942225388 | Alfonso Camberos | Plastic Surgery | 8008 Frost St, Ste 406, San Diego, CA 92123-4209 | 2006-07-13 |
| 1033176763 | Jose E. Otero | Plastic Surgery | 6367 Alvarado Ct, #104, San Diego, CA 92120 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215407614 | Advanced Hand & Reconstructive Plastic Surgery Inc. | Plastic Surgery | 18546 Roscoe Blvd Ste 220, Northridge, CA 91324-5455 | 2018-11-28 |
| 1942722129 | Graph Surgery Inc | Plastic Surgery | 10760 Warner Ave, Ste 201, Fountain Valley, CA 92708 | 2017-07-10 |
| 1114318268 | Sara Yegiyants Md Inc | Plastic Surgery | 225 W Pueblo St # A, Santa Barbara, CA 93105-3804 | 2015-02-11 |
| 1649613662 | Manutchehr Sohaey | Plastic Surgery | 1420 Paint Mountain Rd, Escondido, CA 92029-5926 | 2013-04-09 |
| 1972895027 | Menyoli Michael Malafa | Plastic Surgery | 1700 E Cesar E Chavez Ave Ste 2200, Los Angeles, CA 90033-2476 | 2011-05-09 |
| 1962692533 | Birch Medical Group | Plastic Surgery | 4463 Birch St, Newport Beach, CA 92660-1911 | 2007-07-30 |
| 1891852737 | T. Bury M.d. Inc. | Plastic Surgery | 351 Rolling Oaks Dr Ste 203, Thousand Oaks, CA 91361-1268 | 2007-01-02 |
| 1073673851 | Michael Zarrabi, Md Inc, A Medical Corporation | Plastic Surgery | 2001 Santa Monica Blvd Ste 1180w, Santa Monica, CA 90404-2132 | 2006-12-11 |
| 1669541017 | Bill Kim | Plastic Surgery | 5757 Wilshire Blvd Ste 374, Los Angeles, CA 90036-3683 | 2006-11-07 |
| 1366529349 | Hongshik Han | Plastic Surgery | 7005 N Maple Ave Ste 108, Fresno, CA 93720-8009 | 2006-11-01 |
| 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.