BRANDON ISARIYAWONGSE (NPI# 1639342058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639342058 |
| Entity Type | Individual |
| Full Name | BRANDON ISARIYAWONGSE |
| Credential | M.D. |
| Practice Address |
5893 Copley Dr San Diego CA 92111-7906 |
| Practice Telephone | 8586165417 |
| Mailing Telephone | 8586165417 |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2014-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 131363 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
5893 COPLEY DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92111-7906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093788226 | Alexander Stewart | Otolaryngology | 5893 Copley Dr, Kaiser Permanente Garfield Specialty Center, San Diego, CA 92111-7906 | 2006-02-08 |
| 1396353314 | Katharine Mary Klepin | Dietitian, Registered | 5893 Copley Dr, San Diego, CA 92111-7906 | 2020-07-15 |
| 1629321203 | Jessica Saya Collins | Plastic Surgery | 5893 Copley Dr, 4th Floor Plastic Surgery Clinic, San Diego, CA 92111 | 2012-10-19 |
| 1912235482 | Samantha Lee Piper | Orthopaedic Surgery | 5893 Copley Dr, Kaiser Permanente Garfield Specialty Center, San Diego, CA 92111-7906 | 2009-11-22 |
| 1477788412 | Solomon Shaftel | Ophthalmology | 5893 Copley Dr, San Diego, CA 92111-7906 | 2009-05-20 |
| 1952543423 | Timothy Paul Craft | Orthopaedic Surgery | 5893 Copley Dr, Department of Orthopaedic Surgery, San Diego, CA 92111-7906 | 2009-03-30 |
| 1891986154 | Cameron Sadeghi | Orthopaedic Surgery | 5893 Copley Dr, San Diego, CA 92111-7906 | 2007-08-01 |
| 1467651620 | Xuong Kha Tang | Physical Medicine & Rehabilitation | 5893 Copley Dr, San Diego, CA 92111-7906 | 2007-07-17 |
| 1790836930 | Matthew Lutch | Otolaryngology | 5893 Copley Dr, Kaiser Permanente, San Diego, CA 92111-7906 | 2007-01-15 |
| 1144377938 | Michelle Elaine Koski | Urology | 5893 Copley Dr, Kaiser Garfield Department of Urology, San Diego, CA 92111-7906 | 2007-01-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220653 | Karen Elizabeth Mitchell | Registered Nurse | County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 | 2020-06-18 |
| 1912523804 | Access Medical, Inc. | Durable Medical Equipment & Medical Supplies | 4150 Convoy Street, Suite A, San Diego, CA 92111 | 2020-06-17 |
| 1154944551 | Mei Ling Milan Szeto | Student in an Organized Health Care Education/Training Program | 7917 Ostrow Street, Suite A, San Diego, CA 92111 | 2020-05-20 |
| 1346893831 | Leticia Isabel Peralta | Assistant Behavior Analyst | 563 Balboa Avenue. Number 521, San Diego, CA 92111 | 2019-07-23 |
| 1295204394 | Demetria Serfas | Behavioral Analyst | 563 Balboa Ave #521, San Diego, CA 92111 | 2018-11-19 |
| 1568981678 | Ross Psychology | Psychologist | 4883 Ronson Court, Suite K, San Diego, CA 92111 | 2017-09-11 |
| 1225554587 | Bianca Acosta | Technician, Other | 563 Balboa Ave. #521, San Diego, CA 92111 | 2017-08-18 |
| 1194240085 | Kazuhiro Kato | Dentist | 3707 Convoy St., San Diego, CA 92111 | 2017-08-11 |
| 1073038527 | Joanne Epps-yentz | Licensed Vocational Nurse | 7414 Mesa College Dr. Apt 47, San Diego, CA 92111 | 2017-08-06 |
| 1184158446 | Positive Behavior Supports Corp | Community/Behavioral Health | 563 Balboa Ave, 521, San Diego, CA 92111 | 2017-04-13 |
| Find all providers in zip 92111 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043746068 | Robert David Fisher | Urology | 2930 Barnard St Unit 9203, San Diego, CA 92110-5765 | 2017-05-11 |
| 1437505559 | Devin Nitin Patel | Urology | 200 W Arbor Dr # Mc7897, San Diego, CA 92103-1911 | 2016-05-07 |
| 1861747396 | Marc Holden | Urology | 4060 4th Ave Ste 310, San Diego, CA 92103-2120 | 2012-07-20 |
| 1689837908 | Frederick Michael Busch | Urology | 2926 Kellogg St, # B-19, San Diego, CA 92106-3555 | 2008-07-07 |
| 1023130630 | Youngkyu Peter Sheen | Urology | 5138 Sea Mist Court, San Diego, CA 92121-4227 | 2007-04-04 |
| 1174609127 | Manoj Monga | Urology | Regents of The University of Ca - Ucsd Medical Group, 200 W. Arbor Drive, San Diego, CA 92103-9000 | 2006-10-31 |
| 1801996939 | Male Fertility & Sexual Medicine Specialists | Urology | 6699 Alvarado Rd Ste 2207, San Diego, CA 92120-5240 | 2006-09-25 |
| 1700994357 | Robert Harrison Masters | Urology | 3405 Kenyon St Ste 504, San Diego, CA 92110-5008 | 2006-08-25 |
| 1952330052 | Joel Larralde | Urology | 3914 Murphy Canyon Rd, Suite# A206, San Diego, CA 92123-4491 | 2006-07-01 |
| 1740223619 | Kyoko Sakamoto | Urology | 3350 La Jolla Village Drive, Mail Code 9112f, San Diego, CA 92161-0002 | 2006-06-14 |
| Find all providers in SAN DIEGO | ||||
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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.