DR. DOMINICK ADDARIO


Address: 3010 1st Ave, San Diego, CA 92103-5816
Phone: 6192952189

DR. DOMINICK ADDARIO (NPI# 1649496092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649496092
Entity Type Individual
Full Name DR. DOMINICK ADDARIO
Credential M.D.
Practice Address 3010 1st Ave
San Diego
CA 92103-5816
Practice Telephone 6192952189
Practice Fax Number 6192952362
Mailing Telephone 6192952189
Mailing Fax Number 6192952362
Enumeration Date 2007-04-17
Last Update Date 2011-02-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084F0202X Psychiatry & Neurology
Specialization: Forensic Psychiatry
G21620 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 3010 1ST AVE
City SAN DIEGO
State CA
Zip Code 92103-5816

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225191034 Justin A Lapilusa Psychologist 3010 1st Ave, San Diego, CA 92103-5816 2006-12-19
1235411042 Stephen M Pfeiffer Psychologist 3010 1st Ave, San Diego, CA 92103-5816 2011-09-16
1346565082 Dominick Addario Md Apc Psychiatry & Neurology 3010 1st Ave, San Diego, CA 92103-5816 2010-04-06
1174703904 Ernest V. De Guzman, M.d., A Professional Corporation Community/Behavioral Health 3010 1st Ave, San Diego, CA 92103-5816 2007-11-09

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1467099432 Lina Hong Behavior Technician 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 2019-12-09
1154964567 Rodger Stacy Questin, Psychologist P.C. Psychologist 440 Upas St Apt 402, San Diego, CA 92103 2019-10-18
1932740388 Grace Tong-ventura Pharmacist 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 2019-10-07
1306490453 Genevieve Cheung Pharmacist 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 2019-07-26
1801356837 Marika Doviak Acupuncturist 2370 Hickory St, San Diego, CA 92103 2019-03-25
1982185070 Tyler Lewis Roberts Counselor 4303 3rd Ave, San Diego, CA 92103 2018-08-27
1689151284 Tori Breanne Blackwell Occupational Therapist 3731-a 6th Avenue, San Diego, CA 92103 2018-07-26
1952892614 Pacific Bay Recovery Inc Substance Abuse Rehabilitation Facility 4095 Jackdaw St, San Diego, CA 92103 2018-05-29
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Taxonomy Information

Taxonomy Code 2084F0202X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Forensic Psychiatry

Taxonomy Definition

Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235362237 Eric Henry Marcus Psychiatry & Neurology 2648 W Canyon Ave, San Diego, CA 92123-4684 2009-08-25
1093918807 Yufang Jennifer Chang Psychiatry & Neurology 302 Washington St # 946, San Diego, CA 92103-2110 2007-06-08
1225139314 Matthew Carroll Psychiatry & Neurology 3131 Camino Del Rio N Ste 270, San Diego, CA 92108-5703 2006-09-25
1558467118 Benjamin Bensoul Psychiatry & Neurology 981 Manor Way, San Diego, CA 92106-2035 2006-09-14
1265458087 David Naimark Psychiatry & Neurology 220 W Broadway, #1003, San Diego, CA 92101-3886 2006-07-14
1801811104 Raphael Adam Morris Psychiatry & Neurology 4550 Kearny Villa Rd Ste 116, San Diego, CA 92123-1583 2006-07-13
1841440419 Jason R. Kornberg, M.d., A Professional Corporation Psychiatry & Neurology 591 Camino De La Reina, Suite #820, San Diego, CA 92108-3102 2008-09-19
1770764326 Alexander C Green Psychiatry & Neurology 12520 High Bluff Dr, Ste 375, San Diego, CA 92130 2007-11-23
1154443786 J. Brand Brickman Psychiatry & Neurology 2477 Congress St, San Diego, CA 92110-2820 2007-04-04
1073685764 Jason R. Kornberg Psychiatry & Neurology 591 Camino De La Reina, Suite #820, San Diego, CA 92108-3102 2006-11-15
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Competitor

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City SAN DIEGO
Zip Code 92103

Improve Information

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Dataset Information

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.

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