BRETT A GIDNEY MD A MEDICAL CORPORATION (NPI# 1679747448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679747448 |
| Entity Type | Organization |
| Organization Name | BRETT A GIDNEY MD A MEDICAL CORPORATION |
| Practice Address |
5555 Reservoir Dr Suite 112 San Diego CA 92120-5134 |
| Practice Telephone | 6192877060 |
| Mailing Telephone | 6192877060 |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |
| Authorized Official Name | DR. BRETT ANDREW GIDNEY (PRESIDENT, CEO) |
| Authorized Official Telephone | 6192877060 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
A81336 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | A81336 | 01 |
| DEA | BG8116798 | 01 |
| Street Address |
5555 RESERVOIR DR SUITE 112 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120-5134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225035496 | William Patrick Mann | Internal Medicine | 5555 Reservoir Dr, Ste 200, San Diego, CA 92120-5134 | 2005-07-04 |
| 1376140590 | Leon Samuel Mancilla | Peer Specialist | 5555 Reservoir Dr, San Diego, CA 92120-5134 | 2020-10-01 |
| 1417345091 | Btla Vi | Internal Medicine | 5555 Reservoir Dr, Suite #209, San Diego, CA 92120-5134 | 2015-01-05 |
| 1295050102 | Ashley Winter | Urology | 5555 Reservoir Dr, Suite 300, San Diego, CA 92120-5134 | 2010-04-02 |
| 1215251822 | Farhad Farjoudi | Internal Medicine | 5555 Reservoir Dr, Ste 312, San Diego, CA 92120-5173 | 2010-03-25 |
| 1932438637 | Charles R. Kossman, M.d., Inc. | Internal Medicine | 5555 Reservoir Dr, #306, San Diego, CA 92120-5134 | 2009-12-09 |
| 1699906032 | Azam Shamani | Family Medicine | 5555 Reservoir Dr, Ste 312, San Diego, CA 92120-5134 | 2009-08-03 |
| 1841447950 | Brooke Laura Ballard | Orthopaedic Surgery | 5555 Reservoir Dr, Ste 104, San Diego, CA 92120-5134 | 2008-08-20 |
| 1982886107 | Richard A Katz M D Inc | Internal Medicine | 5555 Reservoir Dr, Suite 112, San Diego, CA 92120-5195 | 2007-11-29 |
| 1952595316 | Ralph Erik Rynning | Orthopaedic Surgery | 5555 Reservoir Dr, Suite 104, San Diego, CA 92120-5134 | 2007-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
| 1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
| 1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
| 1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
| 1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
| 1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
| 1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
| 1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
| Find all providers in zip 92120 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588890743 | Ruchir Sehra | Internal Medicine | Sandiego Va Hospital 3350 La Jolla Village Dr, Cardiology 111, San Diego, CA 92161-0001 | 2009-06-02 |
| 1487651154 | Helen Elizabeth Noll | Internal Medicine | 2929 Health Center Dr, San Diego, CA 92123-2762 | 2005-07-07 |
| 1346516069 | Gordon Ho | Internal Medicine | 200 W Arbor Dr, San Diego, CA 92103 | 2012-03-27 |
| 1427255967 | Frederick Tehbek Han | Internal Medicine | 200 W Arbor Dr, San Diego, CA 92103 | 2007-06-28 |
| 1427176338 | Regents of University of California - Ucsd Medical Group | Internal Medicine | 200 West Arbor Drive, Mc-8201 Attn: Provider Enrollment Department, San Diego, CA 92103-8201 | 2007-03-27 |
| 1841322195 | Kurt Stephen Hoffmayer | Internal Medicine | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2007-03-12 |
| 1609924554 | Brant Chin Zen Liu | Internal Medicine | 4647 Zion Ave, San Diego, CA 92120-2507 | 2007-01-08 |
| 1346398179 | Sardul J. Singh | Internal Medicine | 4647 Zion Ave, San Diego, CA 92120-2507 | 2007-01-08 |
| 1285708628 | Joseph B Stein, Md, Facc, Inc | Internal Medicine | 4060 4th Ave, Suite 205, San Diego, CA 92103-2116 | 2006-11-18 |
| 1679589329 | Manish Kumar Wadhwa | Internal Medicine | 501 Washington St, Suite 512, San Diego, CA 92103-2231 | 2006-08-01 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on BRETT A GIDNEY MD A MEDICAL CORPORATION.
| 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.