DR. JOHN CHARLES AUSTIN (NPI# 1518997378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518997378 |
| Entity Type | Individual |
| Full Name | DR. JOHN CHARLES AUSTIN |
| Credential | MD |
| Practice Address |
8901 Activity Rd Ste 205 San Diego CA 92126-4436 |
| Practice Telephone | 8587036964 |
| Practice Fax Number | 8588002518 |
| Mailing Telephone | 8587036964 |
| Mailing Fax Number | 8588002518 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2018-12-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
C55502 | CA | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
MD2012-0840 | NM | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
MD26733 | OR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4150 Regents Park Row Ste 321, La Jolla, CA 920379124 | 8587036964 | 8588002518 |
| 7485 Mission Valley Rd Ste 104a, San Diego, CA 921084422 | (619) 291-8930 | 6192918491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386938637 | John Austin | Physical Therapy Assistant | 13456 241st St, Rosedale, NY 11422-1471 | 2011-06-03 |
| 1124357041 | John Christian Austin | Counselor | 290 W Main St, Hyannis, MA 02601-3681 | 2009-12-24 |
| 1083730865 | John Edward Austin | Dentist | 105 N Gibson St, Princeton, IN 47670-1856 | 2007-03-22 |
| 1578612164 | John L Austin Jr. | Dentist | 4256 S Linden Rd, Flint, MI 48507-2908 | 2007-01-10 |
| 1336225705 | John Vincent Austin | Psychologist | 3048 Fulton Cir, Clearwater, MN 55320-1306 | 2006-10-28 |
| 1255867800 | John Nathaniel Austin Jr. | Social Worker | 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 | 2017-05-02 |
| 1104175587 | John Casey Austin | Pharmacist | 11272 Highway 57, Counce, TN 38326-3802 | 2012-08-31 |
| 1568658540 | John Edward Austin | Occupational Therapist | 2125 Charlie Hall Blvd, Dept. of Ot/pt, Charleston, SC 29414-5879 | 2007-09-24 |
| 1750439576 | John H. Austin | Family Medicine | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2007-01-08 |
| 1356379523 | John Austin | Radiology | 622 W 168th St, New York, NY 10032-3720 | 2006-06-28 |
| Street Address |
8901 ACTIVITY RD STE 205 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92126-4436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422643 | Moden Medical Group | Family Medicine | 8901 Activity Rd Ste 205, San Diego, CA 92126-4436 | 2020-09-18 |
| 1073128385 | Aisha Ahmed, Dpm, Inc. | Podiatrist | 8901 Activity Rd Ste 205, San Diego, CA 92126-4436 | 2020-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730741299 | Eye Connection Optometry, Inc | Optometrist | 9516 Miramar Road, San Diego, CA 92126 | 2019-07-05 |
| 1811450935 | Anne Phabmixay | Student in an Organized Health Care Education/Training Program | Douglas Young Wellness Center, 10717 Camino Ruiz Suite 207, San Diego, CA 92126 | 2019-04-08 |
| 1679035588 | Emily Nguyen | Registered Nurse | 8210 Elston Place, San Diego, CA 92126 | 2019-04-01 |
| 1558832139 | Dana Douglas-hiley | Speech-Language Pathologist | 9606 Tierra Grande St., Suite 107, San Diego, CA 92126 | 2018-12-08 |
| 1275022873 | Breeann Nicole Poulson | Speech-Language Pathologist | 9466 Black Mountain Rd Suite 100, San Diego, CA 92126 | 2018-05-09 |
| 1659878882 | My Phuong Thi Phan | Registered Nurse | 10938 Hyades Way, San Diego, CA 92126 | 2018-04-13 |
| 1083132153 | Ruth Tamar Morales | Occupational Therapist | Children's Ot Services, Inc, 9606 Tierra Grande St., #104, San Diego, CA 92126 | 2017-09-08 |
| 1487184339 | Chelsea Irene Johnson | Marriage & Family Therapist | 8670 New Salem St. Unit 106, San Diego, CA 92126 | 2017-06-14 |
| 1336508506 | Brenda L. Bebal | Nurse Practitioner | 10737 Camino Ruiz; Ste 235, Operation Samahan Health Clinic, San Diego, CA 92126 | 2016-02-17 |
| 1700245099 | Naval Medical Center San Diego | Pharmacy | Mcas Miramar Exchange Pharmacy, Bldg 2660, San Diego, CA 92126 | 2016-02-16 |
| Find all providers in zip 92126 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629092473 | Tal David | Orthopaedic Surgery | 4910 Directors Pl Ste 350, San Diego, CA 92121-3834 | 2006-07-26 |
| 1982607867 | Jonathan J. Myer | Orthopaedic Surgery | 6719 Alvarado Rd, Ste 200, San Diego, CA 92120-5256 | 2005-05-24 |
| 1285939330 | Robert E. Berry, Do, PC | Orthopaedic Surgery | 5471 Kearny Villa Rd., Suite 200, San Diego, CA 92123-1143 | 2011-01-21 |
| 1104081363 | Adnan Cutuk | Orthopaedic Surgery | 3750 Convoy Street, Suite 116, San Diego, CA 92111-3739 | 2008-07-26 |
| 1548473945 | David Thomas Easley | Orthopaedic Surgery | 3444 Kearny Villa Rd, Suite 202, San Diego, CA 92123-1959 | 2007-05-08 |
| 1326184250 | David J. Chao Md, Inc | Orthopaedic Surgery | 8901 Activity Road, San Diego, CA 92126 | 2007-01-29 |
| 1851437792 | Tal David, Md, Inc | Orthopaedic Surgery | 5471 Kearny Villa Rd., Suite 200, San Diego, CA 92123-1143 | 2007-01-29 |
| 1407904584 | William Joseph Previte | Orthopaedic Surgery | 7525 Linda Vista Rd, Suite C, San Diego, CA 92111-5344 | 2007-01-08 |
| 1730290289 | David J Chao | Orthopaedic Surgery | 8901 Activity Rd, San Diego, CA 92126-4427 | 2006-08-31 |
| 1265543615 | Paul C Murphy | Orthopaedic Surgery | 5471 Kearny Villa Rd Ste 200, San Diego, CA 92123-1143 | 2006-08-31 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on DR. JOHN CHARLES AUSTIN.
| 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.