Luis A Fiallo (NPI# 1407824600, PAC ID# 0547259905) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CRITICAL CARE (INTENSIVISTS).
| Nation Provider ID (NPI) | 1407824600 |
| PAC ID by PECOS | 0547259905 |
| Professional Enrollment ID | I20040510001681 |
| Full Name | Luis A Fiallo |
| Organization Legal Name | KND DEVELOPMENT 59 LLC |
| Address |
4940 El Cajon Blvd San Diego CA 92115-4637 |
| Phone Number | 6195434500 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1989 |
| Primary Specialty | CRITICAL CARE (INTENSIVISTS) |
| Secondary Specialties | PULMONARY DISEASE |
| Group Practice PAC ID | 3678602802 |
| Number of Group Practice Members | 150 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050624 | HENRY MAYO NEWHALL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4940 El Cajon Blvd, San Diego, CA 92115-4637 | 6195434500 | KND DEVELOPMENT 59 LLC |
| 23845 Mcbean Pkwy, Valencia, CA 91355-2001 | 6612001032 | SCCT MEDICAL GROUP PC |
| 23845 Mcbean Pkwy, Valencia, CA 91355-2001 | 6612538000 | EMERGENCY ASSOCIATES CORPORATION |
| Organization Legal Name | KND DEVELOPMENT 59 LLC |
| Physicians | 103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allan Chen | Cardiovascular Disease (cardiology) | Knd Development 59 LLC | 4555 S Manhattan Ave, Tampa, FL 33611-2305 |
| Aleksandar A Radovic | Emergency Medicine | Knd Development 59 LLC | 6130 N Sheridan Rd, Chicago, IL 60660-2830 |
| Yvonne A Alanes | Internal Medicine | Knd Development 59 LLC | 845 N Lark Ellen Ave, West Covina, CA 91791-1069 |
| Daniel J Ries | General Practice | Knd Development 59 LLC | 1901 College Ave, Santa Ana, CA 92706-2334 |
| John B Steele | Anesthesiology | Knd Development 59 LLC | 205 Hollow Tree Ln, Houston, TX 77090-2801 |
| Victor E Oliva Gutierrez | Internal Medicine | Knd Development 59 LLC | 700 High St Ne, Albuquerque, NM 87102-2565 |
| Charles Wayne Plummer | Anesthesiology | Knd Development 59 LLC | 2401 Southside Blvd, Greensboro, NC 27406-3311 |
| Jazbeen Mahmood | Family Medicine | Knd Development 59 LLC | 3030 6th S St, Saint Petersburg, FL 33705-3720 |
| Ali H Bawamia | Internal Medicine | Knd Development 59 LLC | 2544 W Montrose Ave, Chicago, IL 60618-1537 |
| Shayna M Tisdall | Physician Assistant | Knd Development 59 LLC | 700 Potomac St, Fl 2, Aurora, CO 80011-6846 |
| Street Address |
4940 EL CAJON BLVD |
| City | SAN DIEGO |
| State | CA |
| Zip | 92115-4637 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judd W Landsberg | Internal Medicine | Knd Development 59 LLC | 4940 El Cajon Blvd, San Diego, CA 92115-4637 |
| Brandon Nokes | Internal Medicine | Knd Development 59 LLC | 4940 El Cajon Blvd, San Diego, CA 92115-4637 |
| Rita Starritt | Internal Medicine | Knd Development 59 LLC | 4940 El Cajon Blvd, San Diego, CA 92115-4637 |
| Benjamin E Illum | Critical Care (intensivists) | Knd Development 59 LLC | 4940 El Cajon Blvd, San Diego, CA 92115-4637 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victor Bj Krauss | Chiropractic | Victor B J Krauss Chiropractic, A Professional Corporation | 6753 El Cajon Blvd, San Diego, CA 92115-1621 |
| John L Castiello | Optometry | Barry Katzman, M.d., Inc., Apc | 6945 El Cajon Blvd, San Diego, CA 92115-1754 |
| Tu N Truong | Internal Medicine | 5069 El Cajon Blvd, Tu N Truong Md A Pmc, San Diego, CA 92115-3348 | |
| Joanne F Ehrenborg | Physical Therapy | 4595 Contour Blvd, San Diego, CA 92115-3419 | |
| Kristin J Brownell | Family Medicine | Family Health Centers of San Diego, Inc | 5454 El Cajon Blvd, San Diego, CA 92115-3621 |
| Sarah A Rojas | Family Practice | Family Health Centers of San Diego, Inc | 5454 El Cajon Blvd, San Diego, CA 92115-3621 |
| Steven M Schmerber | Family Practice | Family Health Centers of San Diego, Inc | 5454 El Cajon Blvd, San Diego, CA 92115-3621 |
| Tram B Le | Family Medicine | 5507 El Cajon Blvd, Suite L, San Diego, CA 92115-3624 | |
| Huan Albert Le | Pulmonary Disease | 5507 El Cajon Blvd, Suite C, San Diego, CA 92115-3624 | |
| Egisto Salerno | Internal Medicine | Egisto Salerno Md Inc | 5532 El Cajon Blvd, San Diego, CA 92115-3642 |
| Find all physicians in zip 92115 | |||
| City | SAN DIEGO |
| Zip Code | 92115 |
| Specialty | CRITICAL CARE (INTENSIVISTS) |
| City + Specialty | SAN DIEGO + CRITICAL CARE (INTENSIVISTS) |
Please comment or provide details below to improve the information on Luis A Fiallo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.