Richard L Fassett (NPI# 1649367475, PAC ID# 1951319847) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1649367475 |
PAC ID by PECOS | 1951319847 |
Professional Enrollment ID | I20120320001042 |
Full Name | Richard L Fassett |
Organization Legal Name | RICHARD L. FASSETT MD INC |
Address |
4116 W Point Loma Blvd San Diego CA 92110-5605 |
Phone Number | 6192251212 |
Gender | M |
Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
Graduation Year | 1965 |
Primary Specialty | FAMILY PRACTICE |
Group Practice PAC ID | 8921036351 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050234 | SHARP CORONADO HOSPITAL AND HLTHCR CTR |
050100 | SHARP MEMORIAL HOSPITAL |
050026 | GROSSMONT HOSPITAL |
050222 | SHARP CHULA VISTA MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
4116 W Point Loma Blvd, San Diego, CA 92110-5605 | 6192251212 | RICHARD L. FASSETT MD INC |
Organization Legal Name | RICHARD L. FASSETT MD INC |
Physicians | 1 |
Street Address |
4116 W POINT LOMA BLVD |
City | SAN DIEGO |
State | CA |
Zip | 92110-5605 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joseph E Allen | Family Medicine | 4116 W Point Loma Blvd, San Diego, CA 92110-5605 |
Name | Specialty | Organization | Address |
---|---|---|---|
Dennis Randall | Diagnostic Radiology | 1764 San Diego Ave, Suite 100, San Diego, CA 92110-1987 | |
Kristen M Tenwolde | Chiropractic | 1764 San Diego Ave, San Diego, CA 92110-1987 | |
Wayne D Muller | Pathology | Pacific Rim Pathology Medical Corporation | 5325 Metro St, San Diego, CA 92110-2608 |
Arturo E Mendoza | Pathology | Pacific Rim Pathology Medical Corporation | 5325 Metro St, San Diego, CA 92110-2608 |
Jeffrey M Steinhardt | Chiropractic | 2707 Congress St, Suite 2a, San Diego, CA 92110-2765 | |
Michele Suzanne Koonin | Clinical Social Worker | 2725 Congress St, Suite 2c, San Diego, CA 92110-2767 | |
Emilie Craig Sfregola | Clinical Psychologist | 2251 San Diego Ave, Suite B253, San Diego, CA 92110-2926 | |
Jill Dodge | Clinical Social Worker | 3990 Old Town Ave, Suite 209a, San Diego, CA 92110-2967 | |
Deborah L Cosmetis | Psychologist, Clinical | 3990 Old Town Ave, A208, San Diego, CA 92110-2967 | |
Marni Leah Greenberg | Psychologist, Clinical | 3990 Old Town Ave, Suite A208, San Diego, CA 92110-2967 | |
Find all physicians in zip 92110 |
City | SAN DIEGO |
Zip Code | 92110 |
Specialty | FAMILY PRACTICE |
City + Specialty | SAN DIEGO + FAMILY PRACTICE |
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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.