Taddese T Desta (NPI# 1346326246, PAC ID# 6608779335) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1346326246 |
| PAC ID by PECOS | 6608779335 |
| Professional Enrollment ID | I20040202001020 |
| Full Name | Taddese T Desta |
| Organization Legal Name | DIGESTIVE DISEASE ASSOCIATES, INC |
| Address |
292 Euclid Ave Suite 115 San Diego CA 92114-3629 |
| Phone Number | 6192663332 |
| Gender | M |
| Credential | MD |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9436052164 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 292 Euclid Ave, Suite 115, San Diego, CA 92114-3629 | 6192663332 | DIGESTIVE DISEASE ASSOCIATES, INC |
| Organization Legal Name | DIGESTIVE DISEASE ASSOCIATES, INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathy A Newell | Nurse Practitioner | Digestive Disease Associates, Inc | 292 Euclid Ave, Suite 115, San Diego, CA 92114-3629 |
| Carlton W Thomas Jr. | Gastroenterology | Digestive Disease Associates, Inc | 292 Euclid Ave, Suite 115, San Diego, CA 92114-3629 |
| Katherine M Shaffer | Gastroenterology | Digestive Disease Associates, Inc | 292 Euclid Ave, Suite 115, San Diego, CA 92114-3629 |
| Ivan P Cubas | Gastroenterology | Digestive Disease Associates, Inc | 292 Euclid Ave, Suite 115, San Diego, CA 92114-3629 |
| Cynthia L Schaeffer | Gastroenterology | Digestive Disease Associates, Inc | 292 Euclid Ave, Suite 115, San Diego, CA 92114-3629 |
| Street Address |
292 EUCLID AVE SUITE 115 |
| City | SAN DIEGO |
| State | CA |
| Zip | 92114-3629 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathy A Newell | Nurse Practitioner | Digestive Disease Associates, Inc | 292 Euclid Ave, Suite 115, San Diego, CA 92114-3629 |
| Rodney Grant Hood | Internal Medicine | 292 Euclid Ave, Suite 210, San Diego, CA 92114-3629 | |
| Carlton W Thomas Jr. | Gastroenterology | Digestive Disease Associates, Inc | 292 Euclid Ave, Suite 115, San Diego, CA 92114-3629 |
| Katherine M Shaffer | Gastroenterology | Digestive Disease Associates, Inc | 292 Euclid Ave, Suite 115, San Diego, CA 92114-3629 |
| Dat W Nguyen | Internal Medicine | Datnguyen, M.d., Inc. | 292 Euclid Ave, Suite 210, San Diego, CA 92114-3629 |
| Ivan P Cubas | Gastroenterology | Digestive Disease Associates, Inc | 292 Euclid Ave, Suite 115, San Diego, CA 92114-3629 |
| Cynthia L Schaeffer | Gastroenterology | Digestive Disease Associates, Inc | 292 Euclid Ave, Suite 115, San Diego, CA 92114-3629 |
| Eiad Sabia | Internal Medicine | Datnguyen, M.d., Inc. | 292 Euclid Ave, Suite 210, San Diego, CA 92114-3629 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Steven Crawford | Certified Registered Nurse Anesthetist (crna) | Southern California Gastroenterology Anesthesia Specialists | 286 Euclid Ave, Suite 109, San Diego, CA 92114-3611 |
| April J Fitzpatrick | Certified Registered Nurse Anesthetist (crna) | Southern California Gastroenterology Anesthesia Specialists | 286 Euclid Ave, Suite 109, San Diego, CA 92114-3611 |
| Mandy Joy Manalastas | Clinical Social Worker | 286 Euclid Ave, Suite 102, San Diego, CA 92114-3611 | |
| Douglas R Dolnak | Psychiatry | The Neighborhood House Association | 286 Euclid Ave, Suite 102, San Diego, CA 92114-3611 |
| Joanna Lizette Hernandez | Family Medicine | Centro De Salud De La Comunidad De San Ysidro Inc | 286 Euclid Ave, 302 Comprehensive Health Center Euclid, San Diego, CA 92114-3613 |
| Kenneth Wells | Podiatry | 286 Euclid Ave, Suite 204, San Diego, CA 92114-3679 | |
| Gabriel Gil | Family Medicine | Lomita Family Medical Group Inc | 903 Cardiff St, San Diego, CA 92114-5019 |
| Edward Sheldon | General Practice | Lomita Family Medical Group Inc | 903 Cardiff St, San Diego, CA 92114-5019 |
| Jennifer Colleen Trujillo | Obstetrics/gynecology | Centro De Salud De La Comunidad De San Ysidro Inc | 950 S Euclid Ave, San Ysidro Health King Chavez Health Center, San Diego, CA 92114-6201 |
| Ralph C Hernandez | Family Medicine | Centro De Salud De La Comunidad De San Ysidro Inc | 950 S Euclid Ave, San Ysidro Health King Chavez Health Center, San Diego, CA 92114-6201 |
| Find all physicians in zip 92114 | |||
| City | SAN DIEGO |
| Zip Code | 92114 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SAN DIEGO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Taddese T Desta.
| 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.