San Diego House Call Doctors, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C21376 Issued in CA

Legal business name

SAN DIEGO HOUSE CALL DOCTORS, INC

Practice address

17048 Obsidian Dr
Ramona, CA 92065-6852

Phone

(760) 789-8431

NPI assigned

May 21, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Richard K Gundry, MD

Title

Medical Director

Phone

(760) 789-8431

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1023243979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17048 OBSIDIAN DR",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920656852",
            "telephone_number": "760-789-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17048 OBSIDIAN DR",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920656852",
            "telephone_number": "760-789-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO HOUSE CALL DOCTORS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-21",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "GUNDRY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "760-789-8431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C21376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Ramona, CA
• Providers in Ramona, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.