ERIK B KISTLER (NPI# 1952591042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952591042 |
| Entity Type | Individual |
| Full Name | ERIK B KISTLER |
| Credential | M.D. |
| Practice Address |
Ucsd Medical Center 200 West Arbor Drive San Diego CA 92103 |
| Mailing Address |
Po Box 232410 San Diego CA 92193-2410 |
| Practice Telephone | 6195435297 |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2018-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
A91700 | CA | Allopathic & Osteopathic Physicians |
| N | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
233592 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
UCSD MEDICAL CENTER 200 WEST ARBOR DRIVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790743185 | Eustratia Michele Hubbard | Pediatrics | Ucsd Medical Center, 200 W Arbor Dr-mc 8201, San Diego, CA 92103-8201 | 2006-05-03 |
| 1518163799 | Tricia Santos Cavaiola | Internal Medicine | Ucsd Medical Center, 200 West Arbor Dr, San Diego, CA 92103 | 2007-06-25 |
| 1295931731 | Anju Hurria | Student in an Organized Health Care Education/Training Program | Ucsd Medical Center, 200 West Arbor Dr, San Diego, CA 92103 | 2007-06-22 |
| 1467519579 | William George Hughson | Internal Medicine | Ucsd Medical Center, 200 West Arbor Drive Mc 8201, San Diego, CA 92103-8201 | 2007-01-02 |
| 1669556817 | Eliezer Masliah | Pathology | Ucsd Medical Center, 200 West Arbor Drive M/c 8201, San Diego, CA 92103-8201 | 2006-10-24 |
| 1659453108 | Ronald Jeffery Gordon | Anesthesiology | Ucsd Medical Center, 200 W. Arbor Drive Mc 8770, San Diego, CA 92103 | 2006-10-20 |
| 1417050345 | Carlos Jose Carrera | Internal Medicine | Ucsd Medical Center, 200 West Arbor Dr, Mc 8201, San Diego, CA 92103-8201 | 2006-09-06 |
| 1275563355 | Dalia A Banks | Anesthesiology | Ucsd Medical Center, 200 West Arbor Drive Mc 0801, San Diego, CA 92103 | 2006-07-04 |
| 1770526931 | Dzung T Le | Pathology | Ucsd Medical Center, 200 West Arbor Drive Mc 8201, San Diego, CA 92103-8201 | 2006-06-14 |
| 1194766436 | David M Roth | Anesthesiology | Ucsd Medical Center, 200 West Arbor Drive Mc 0801, San Diego, CA 92103-0801 | 2006-06-09 |
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| 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 | 207LC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Critical Care Medicine |
| An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1245688415 | Andrew Goodrich | Anesthesiology | 200 West Arbor Drive, #8770, San Diego, CA 92103 | 2016-05-29 |
| 1386900157 | Ron Barak | Anesthesiology | 4077 Fifth Ave # Mer35, San Diego, CA 92103-2105 | 2012-04-06 |
| 1699057885 | Suraj Trivedi | Anesthesiology | 200 W Arbor Dr, San Diego, CA 92103 | 2011-09-13 |
| 1902033574 | Karvier R Yates | Anesthesiology | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2009-06-22 |
| 1962660803 | Christopher Ray Tainter | Anesthesiology | 200 W Arbor Dr, Dept Em #8676, San Diego, CA 92103-9000 | 2008-05-28 |
| 1376646869 | Regents of The University of California - Ucsd Medical Group | Anesthesiology | 200 West Arbor Dr, Ucsd Mail Code 8986, San Diego, CA 92103-8986 | 2006-09-07 |
| 1053354233 | Anesthesia Service Medical Group | Anesthesiology | 3626 Ruffin Rd, San Diego, CA 92123-1810 | 2006-06-14 |
| 1669445169 | Eugenio Lujan | Anesthesiology | 34800 Bob Wilson Dr, Nmcsd, Attn: Medical Staff Services, San Diego, CA 92134-1098 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851899876 | Dennis Thomas Mangano | Anesthesiology | 30 Genevra Rd, Hillsborough, CA 94010-6423 | 2018-01-24 |
| 1801282579 | Sara Sedrak | Anesthesiology | 127 S San Vicente Blvd Ste 3100, Los Angeles, CA 90048-3311 | 2015-04-09 |
| 1649699505 | Christopher Dinh | Anesthesiology | 2500 Grant Rd # 2a302, Mountain View, CA 94040-4302 | 2014-04-08 |
| 1295178002 | Deon We-jin Lau | Anesthesiology | 11234 Anderson St # 2539, Loma Linda, CA 92354 | 2013-04-10 |
| 1417208596 | Pacific Physicians Medical, Inc. | Anesthesiology | 573 Center Dr, Palo Alto, CA 94301-3102 | 2012-09-28 |
| 1225356777 | Dante William Oriente | Anesthesiology | 972 Calle Serra, San Dimas, CA 91773-4332 | 2010-05-07 |
| 1578793279 | Christopher George Choukalas | Anesthesiology | 120 Parker Ave, #102, San Francisco, CA 94118-2673 | 2009-07-16 |
| 1225219025 | Robert Chan Ang | Anesthesiology | 500 E Remington Dr Ste 18, Sunnyvale, CA 94087-2611 | 2007-11-20 |
| 1780746354 | Lundy John Campbell | Anesthesiology | 512 Parnassus Ave, Room S-436, Box 0427, San Francisco, CA 94143-0001 | 2006-12-13 |
| 1407835325 | Mojdeh Talebian | Anesthesiology | 2950 Whipple Ave, #4, Redwood City, CA 94062 | 2006-01-10 |
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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.