DAVID RUSSELL DIEHL (NPI# 1669530861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669530861 |
| Entity Type | Individual |
| Full Name | DAVID RUSSELL DIEHL |
| Credential | MD |
| Practice Address |
5555 Grossmont Center Dr La Mesa CA 91942 |
| Mailing Address |
210 N Tustin Ave Santa Ana CA 92705-3807 |
| Practice Telephone | 6194605111 |
| Practice Fax Number | 6194607815 |
| Mailing Telephone | 7143471000 |
| Mailing Fax Number | 7146471245 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | A36513 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A365130 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366972796 | David H Diehl | Dentist | 282 Spring Creek Pkwy # 202, Spring Creek, NV 89815-5822 | 2017-06-18 |
| 1831318443 | David Leroy Diehl | Dentist | 3532 Jersey Ridge Rd, Davenport, IA 52807-2223 | 2007-04-24 |
| 1013065192 | David James Diehl | Psychiatry & Neurology | 760 Woodland Drive East, Suite 3, Saline, MI 48176-1682 | 2007-01-08 |
| 1821164906 | David M Diehl | Dentist | 10215 Dupont Circle Dr W, Fort Wayne, IN 46825-1656 | 2006-11-28 |
| 1508319500 | David Ryan Diehl | Anesthesiologist Assistant | 820 Prudential Dr, Suite 606, Jacksonville, FL 32207-8210 | 2016-07-27 |
| 1598857575 | David Diehl | Chiropractor | 2900 Townsgate Rd, Suite 212, Westlake Village, CA 91361-3001 | 2006-09-28 |
| 1487647897 | David Diehl | Internal Medicine | 100 N Academy Ave, Mail Code 21-11, Danville, PA 17822-9800 | 2005-08-31 |
| Street Address |
5555 GROSSMONT CENTER DR |
| City | LA MESA |
| State | CA |
| Zip Code | 91942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770589293 | Raed A Al-naser | Internal Medicine | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2005-06-21 |
| 1568062552 | Justin Cantley | Nurse Practitioner | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2020-10-28 |
| 1942828314 | Honey Mae Cosare Surmillon | Licensed Vocational Nurse | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2020-07-11 |
| 1922632801 | Susan Daniels | Occupational Therapist | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2020-02-28 |
| 1457917791 | Elpitha K Tsiskakis | Physician Assistant | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2019-05-13 |
| 1336601053 | Diane Wade Bloomberg | Dietitian, Registered | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2019-04-02 |
| 1265992846 | Vincent Crump | Registered Nurse | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2019-03-21 |
| 1295210029 | United Urology Consultants, P.C. | Urology | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2018-09-27 |
| 1639660368 | Aileen Cathy Chu | Pharmacist | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2018-05-29 |
| 1447767678 | Leslie Ling | Registered Nurse | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2018-01-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
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| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710391875 | Donald Callan Clark | Anesthesiology | 7585 El Paso St, La Mesa, CA 91942-4302 | 2014-06-17 |
| 1225265481 | Daniel John Bebereia | Anesthesiology | 8893 La Mesa Blvd, Ste D, La Mesa, CA 91942-5448 | 2009-06-16 |
| 1720043458 | David Leonard Baron | Anesthesiology | 8881 Fletcher Pkwy Ste 100, La Mesa, CA 91942-3128 | 2006-04-18 |
| 1477525657 | Michael Henry Verdolin | Anesthesiology | 7051 Alvarado Rd, Suite 101, La Mesa, CA 91942-8901 | 2006-02-02 |
| 1700258597 | Verdolin Medicolegal Consulting Inc. | Anesthesiology | 7051 Alvarado Rd, 101, La Mesa, CA 91942-8901 | 2015-10-20 |
| 1134381007 | Bruce M Crabtree Md Inc | Anesthesiology | 8881 Fletcher Pkwy, La Mesa, CA 91942-3134 | 2008-07-01 |
| 1134328768 | John Claus | Anesthesiology | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2007-07-13 |
| 1538206131 | John J. Peckham | Anesthesiology | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2007-01-31 |
| 1366508541 | Thach D. Mai | Anesthesiology | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2006-12-29 |
| 1891855912 | Morey Jack Bubis | Anesthesiology | 5555 Grossmont Center Dr, La Mesa, CA 91942 | 2006-12-11 |
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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.