Tina Udhwani Fallon

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A161739 Issued in CA

Practice address

2210 Mesa Dr Ste 300
Oceanside, CA 92054

Phone

(760) 736-6767

NPI assigned

Apr 6, 2016

Last updated

Sep 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coast Pediatrics Carmel Valley

  • Pediatrics Physician
  • San Diego, CA
  • NPI 1427434679

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1013371004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 MESA DR STE 300",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920543701",
            "telephone_number": "813-313-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 MESA DR STE 300",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "92054",
            "telephone_number": "760-736-6767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8720 Villa La Jolla Dr Unit 119",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920371920",
            "country_code": "US",
            "telephone_number": "813-313-6155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALLON",
        "first_name": "TINA",
        "middle_name": "UDHWANI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A161739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian Richard Fagan
• Setareh Faghani, N.P.
• Michael Rami Falcon, PHARMD.
• Savannah Joy Faleofa
• Brigid Falk
• Deena Gerges Fam, SLP
• Family Dentistry
• Family Health Centers of San Diego, Inc (Mission Family Counseling Center)
• Family Health Centers of San Diego, Inc (Oceanside Family Health Center)
• Family Health Centers of San Diego, Inc (FamilyHealth-Center for Older Adults Oceanside)

• Pediatrics Physician in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.