John Deryl Adderson


Address: 6106 Regents Rd, San Diego, CA 92122-2245
Phone: 8586252466

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.

Physician Overview

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

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050100 SHARP MEMORIAL HOSPITAL
050234 SHARP CORONADO HOSPITAL AND HLTHCR CTR
050026 GROSSMONT HOSPITAL

Other Locations

Address Phone Organization
6106 Regents Rd, San Diego, CA 92122-2245 8586252466

Organization Information

Office Location

Street Address 6106 REGENTS RD
City SAN DIEGO
State CA
Zip 92122-2245

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Sidney H Levine Orthopedic Surgery 8929 University Ctr Ln, Suite 100, San Diego, CA 92122-1007
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Competitor

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City SAN DIEGO
Zip Code 92122
Specialty FAMILY MEDICINE
City + Specialty SAN DIEGO + FAMILY MEDICINE

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Dataset Information

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.

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