Stephen M. Daquino, DO; Inc

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

20A8442 Issued in CA

Legal business name

STEPHEN M. DAQUINO, DO; INC

Practice address

16445 Bernardo Center Dr
San Diego, CA 92128-2523

Phone

(858) 429-0099

Fax

(858) 676-1172

NPI assigned

Aug 17, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephen M Daquino, DO

Title

Medical Director

Phone

(858) 429-0099

Specialties & licenses 1

Addresses

Other names 2

• Revivify Restorative Medicine Doing business as
• Strive Sports & Family Medicine Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Lawrence Padilla, D.C.

  • Chiropractor
  • San Diego, CA
  • NPI 1932206083
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1003164385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16445 BERNARDO CENTER DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282523",
            "telephone_number": "858-429-0099",
            "fax_number": "866-266-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16445 BERNARDO CENTER DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282523",
            "telephone_number": "858-429-0099",
            "fax_number": "858-676-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN M. DAQUINO, DO; INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-17",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "DAQUINO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "858-429-0099",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "20A8442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revivify Restorative Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Strive Sports & Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen a. Luskin Optometric Corporation
• Stephen C. Tuttle, DDS, a Propfessional Corporation
• Stephen Chinn
• Stephen Chinn OD a Professional Corperation Dba As Stephen Chinn OD
• Stephen G. Ward, D.D.S. Dental Corporation
• Stephen Wagers, D.P.M., a.P.C.
• Amy L. Stephen, MSW, LCSW
• Janetta Sue Stephen, LMFT
• Michael Ledell Stephen Jr., RADT
• Stephens Dental

• Sports Medicine (Family Medicine) Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Sports Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.