John Deryl Adderson (NPI# 1932149069, PAC ID# 9032271937) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1932149069 |
PAC ID by PECOS | 9032271937 |
Professional Enrollment ID | I20081231000517 |
Full Name | John Deryl Adderson |
Address |
6106 Regents Rd San Diego CA 92122-2245 |
Phone Number | 8586252466 |
Gender | M |
Graduation Year | 1977 |
Primary Specialty | FAMILY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050100 | SHARP MEMORIAL HOSPITAL |
050234 | SHARP CORONADO HOSPITAL AND HLTHCR CTR |
050026 | GROSSMONT HOSPITAL |
Address | Phone | Organization |
---|---|---|
6106 Regents Rd, San Diego, CA 92122-2245 | 8586252466 |
Street Address |
6106 REGENTS RD |
City | SAN DIEGO |
State | CA |
Zip | 92122-2245 |
Name | Specialty | Organization | Address |
---|---|---|---|
Dale W Kimball | Optometry | Vanhoose and Kimball Optometric Corp | 4575 Lajolla Village Dr, San Diego, CA 92122 |
Damion J Valletta | Osteopathic Manipulative Medicine | Damion J Valletta Do Professional Corporation | 8929 University Ln, Suite 203, San Diego, CA 92122 |
Hussam Mihtar | Psychiatry | 8899 Univeresity Ctr Ln, Suite 170, San Diego, CA 92122 | |
La Tistia M Gaston | Physician Assistant | Damion J Valletta Do Professional Corporation | 8929 University Ln, Suite 203, San Diego, CA 92122 |
Audrey D Schwarzbein | Ophthalmology | Thomas S Tooma M D A Professional Corporation | 3655 Nobel Dr, Suite 130, San Diego, CA 92122-1004 |
Sheri L Rowen | Ophthalmology | Thomas S Tooma M D A Professional Corporation | 3655 Nobel Dr, Suite 130, San Diego, CA 92122-1004 |
Mihir Y Parikh | Ophthalmology | Thomas S Tooma M D A Professional Corporation | 3655 Nobel Dr, Suite 130, San Diego, CA 92122-1004 |
Sidney H Levine | Orthopedic Surgery | 8929 University Ctr Ln, Suite 100, San Diego, CA 92122-1007 | |
Said M Hashemi | Anesthesiology | 8929 University Ctr Ln, Suite 103, San Diego, CA 92122-1007 | |
Douglas Albert Wemmer | Anesthesiology | 8929 University Ctr Ln, Suite 103, San Diego, CA 92122-1007 | |
Find all physicians in zip 92122 |
City | SAN DIEGO |
Zip Code | 92122 |
Specialty | FAMILY MEDICINE |
City + Specialty | SAN DIEGO + FAMILY MEDICINE |
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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.