Active NPI
Myron Schonbrun, M.D.
- Specialist
- San Diego, CA
National Provider Identifier
1013992395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G12482
- Practice address
- 2918 Fifth Ave
Suite 100
San Diego, CA 92103-5910 - Phone
- (619) 688-0770
- Fax
- (619) 688-0987
- NPI assigned
- Dec 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G12482 | CA | Primary |
Addresses
Primary practice location
2918 Fifth Ave
Suite 100
San Diego, CA 92103-5910
Mailing address
2918 Fifth Ave
Suite 100
San Diego, CA 92103-5910
Phone (619) 688-0770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G12482 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346371200000",
"number": "1013992395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2918 FIFTH AVE",
"address_2": "SUITE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921035910",
"telephone_number": "619-688-0770",
"fax_number": "619-688-0987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2918 FIFTH AVE",
"address_2": "SUITE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921035910",
"telephone_number": "619-688-0770",
"fax_number": "619-688-0987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHONBRUN",
"first_name": "MYRON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-09",
"last_updated": "2012-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G12482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.