DR. RICHARD TEW (NPI# 1679572911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679572911 |
| Entity Type | Individual |
| Full Name | DR. RICHARD TEW |
| Credential | M.D. |
| Practice Address |
2630 1st Ave San Diego CA 92103-6599 |
| Mailing Address |
1106 2nd St #810 Encinitas CA 92024-5008 |
| Practice Telephone | 6192342158 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2017-02-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | G23820 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2630 1ST AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-6599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215543426 | Katherine Anne Perry | Nurse Practitioner | 2630 1st Ave, San Diego, CA 92103-6599 | 2020-09-22 |
| 1396358024 | Stephanie Joyce Reed | Nurse Practitioner | 2630 1st Ave, San Diego, CA 92103-6599 | 2020-08-24 |
| 1912439050 | San Diego American Indian Health Center | Preferred Provider Organization | 2630 1st Ave, San Diego, CA 92103-6599 | 2017-03-29 |
| 1790151660 | Michelle Epstein | Dentist | 2630 1st Ave, San Diego, CA 92103-6599 | 2015-08-14 |
| 1235470519 | Jenna Y Lau | Dentist | 2630 1st Ave, San Diego, CA 92103-6599 | 2013-03-11 |
| 1740534239 | Porta Verum | Social Worker | 2630 1st Ave, Suite 205, San Diego, CA 92103-6599 | 2012-11-05 |
| 1710239223 | Young Sun Suh | Family Medicine | 2630 1st Ave, San Diego, CA 92103-6599 | 2012-10-08 |
| 1437400207 | Jodi Staszak | Marriage & Family Therapist | 2630 1st Ave, Suite 205, San Diego, CA 92103-6599 | 2012-09-20 |
| 1801024393 | Shaun Michael Austin | Family Medicine | 2630 1st Ave, San Diego, CA 92103-6599 | 2009-06-23 |
| 1548418619 | Chelsea Richardson | Dentist | 2630 1st Ave, San Diego, CA 92103-6599 | 2008-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 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 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
| 1629626981 | Rejuvenate Medical Group Inc | General Practice | 5030 Camino De La Siesta Ste 404, San Diego, CA 92108-3120 | 2019-08-29 |
| 1114484573 | Revive Medical of San Diego | General Practice | 7220 Trade St Ste 209, San Diego, CA 92121-2326 | 2019-02-21 |
| 1144790643 | Elaine Esguerra | General Practice | 751 Kentmere Ter, San Diego, CA 92154-8415 | 2018-11-28 |
| 1609350909 | Cristina Lavenant Gordon | General Practice | 10912 Derrydown Way, San Diego, CA 92130-2897 | 2018-09-21 |
| 1144723289 | Andrew T Bagby | General Practice | 601 Mc Cain Blvd, San Diego, CA 92135 | 2018-03-15 |
| 1568828671 | Ceferina Pulgar Ruiz | General Practice | 6809 Freed Manor Lane, San Diego, CA 92114 | 2016-01-05 |
| 1578941597 | Zenus Joe Wilson | General Practice | 2446 Trident Way Bldg 637, San Diego, CA 92155-5494 | 2015-05-11 |
| 1457761090 | David Lilienfeld | General Practice | 13412 Pantera Rd, San Diego, CA 92130-1022 | 2014-05-05 |
| 1972920882 | Genevieve Dowling | General Practice | 5575 Ruffin Rd # 100us, San Diego, CA 92123-1380 | 2014-03-28 |
| 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.