PEDIATRIC CARDIOLOGY OF SAN DIEGO (NPI# 1750891727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750891727 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC CARDIOLOGY OF SAN DIEGO |
| Practice Address |
2333 Camino Del Rio S Ste 340 San Diego CA 92108-3615 |
| Mailing Address |
2790 Truxtun Rd Ste 120c San Diego CA 92106-6135 |
| Practice Telephone | 6195014015 |
| Practice Fax Number | 6195012977 |
| Mailing Telephone | 6195014015 |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2018-02-02 |
| Authorized Official Name | DR. DELARAM POUR MOLKARA (CEO) |
| Authorized Official Telephone | 6195014015 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians |
| Street Address |
2333 CAMINO DEL RIO S STE 340 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-3615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306074893 | Delaram Pour Molkara | Pediatrics | 2333 Camino Del Rio S Ste 340, San Diego, CA 92108-3615 | 2009-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861474561 | James C Perry | Pediatrics | 8001 Frost St, Entrance 9, San Diego, CA 92123-2746 | 2005-11-17 |
| 1962974956 | Ian Fraser Golding | Pediatrics | 3020 Childrens Way, San Diego, CA 92123-4223 | 2019-01-01 |
| 1174902548 | Nicholas Dreger | Pediatrics | 200 W Arbor Dr # Mc8829, San Diego, CA 92103-1911 | 2015-05-19 |
| 1902212459 | Charissa Rae Pockett | Pediatrics | 3020 Childrens Way # Mc5004, San Diego, CA 92123-4223 | 2014-07-05 |
| 1295042653 | Serena Pai-wen Sah | Pediatrics | 3020 Childrens Way, San Diego, CA 92123-4223 | 2010-09-08 |
| 1760707210 | Eleanor Lea Lehnert Schuchardt | Pediatrics | 3020 Childrens Way, San Diego, CA 92123 | 2010-03-27 |
| 1770723520 | Rakesh Singh | Pediatrics | 3020 Childrens Way, San Diego, CA 92123-4223 | 2009-03-05 |
| 1740445311 | Justin Chi-kang Yeh | Pediatrics | 3020 Childrens Way, San Diego, CA 92123-4223 | 2008-07-23 |
| 1487821815 | Rachel Mccandless | Pediatrics | 3020 Childrens Way, San Diego, CA 92123-4223 | 2008-05-14 |
| 1760691950 | Christopher Kent Davis | Pediatrics | 8001 Frost St, Entrance 9, San Diego, CA 92123-2746 | 2007-05-22 |
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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.