Sea Breeze Pediatrics, Apc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A39787 Issued in CA

Legal business name

SEA BREEZE PEDIATRICS, APC

Practice address

12395 El Camino Real
Suite 311
San Diego, CA 92130-3082

Phone

(858) 350-4901

Fax

(858) 350-4904

NPI assigned

Sep 4, 2013

Last updated

Sep 4, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Lamar Bjork Jr., M.D.

Title

President

Phone

(858) 350-4901

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert L Bjork, Jr. Jr., MD

  • Pediatrics Physician
  • San Diego, CA
  • NPI 1033143300
  NPD (past)

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1033544408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12395 EL CAMINO REAL",
            "address_2": "SUITE 311",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303082",
            "telephone_number": "858-350-4901",
            "fax_number": "858-350-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12395 EL CAMINO REAL",
            "address_2": "SUITE 311",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303082",
            "telephone_number": "858-350-4901",
            "fax_number": "858-350-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA BREEZE PEDIATRICS, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "BJORK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LAMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-350-4901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A39787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sdosc, LP (San Diego Outpatient Ambulatory Surgical Center)
• Sdva Heathcare System
• Sdy Management, LLC
• SE & Cej Home Care LLC (ComForcare San Diego / La Jolla)
• Sea & Soul Physical Therapy and Pilates
• Sea Coast Home Health Care Inc
• Sea Coast Hospice Care Inc
• Robin R Seaberg, MD
• Katrina Seagrave, M.S.
• Kelsey Seale

• Primary Care Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.