Organization Active NPI

San Diego Health and Medical Inc

  • Physical Medicine & Rehabilitation Physician
  • San Diego, CA
National Provider Identifier
1033528336
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
SAN DIEGO HEALTH AND MEDICAL INC
Practice address
1764 San Diego Ave
Ste 100-D
San Diego, CA 92110-1987
Phone
(619) 618-8599
NPI assigned
Aug 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Authorized official

Name
Dr. Marvin Swanson, MDNPI 1760470801
Title
Owner
Phone
(619) 618-8599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1764 San Diego Ave
Ste 100-D
San Diego, CA 92110-1987

Mailing address

1764 San Diego Ave
Ste 100-D
San Diego, CA 92110-1987
Phone (619) 618-8599

National Provider Directory

National Provider Directory

Locations

1764 San Diego Ave
Ste 100D
San Diego, CA 92110
Phone (619) 542-1440

1764 San Diego Ave
#100D
San Diego, CA 92110

1764 San Diego Ave
Ste 1
San Diego, CA 92110
Phone (619) 542-1440

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1033528336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1764 SAN DIEGO AVE",
            "address_2": "STE 100-D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921101987",
            "telephone_number": "619-618-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1764 SAN DIEGO AVE",
            "address_2": "STE 100-D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921101987",
            "telephone_number": "619-618-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO HEALTH AND MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-618-8599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "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 12, 2014; 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.