Individual provider Active NPI

Neil Partain, MD

  • Pulmonary Disease Physician
  • San Diego, CA
National Provider Identifier
1053360057
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD60346379 Issued in WA
Practice address
Comnavsurfpac 2841 Rendova Rd
San Diego, CA 92155-5490
Phone
(808) 473-2553
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X MD-P-2023-001 GU
General Practice Physician 208D00000X MD60346379 WA
General Practice Physician 208D00000X 00027000 AL
Pulmonary Disease Physician 207RP1001X MD60346379 WA Primary
Internal Medicine Physician 207R00000X MD60346379 WA

Addresses

Primary practice location

Comnavsurfpac 2841 Rendova Rd
San Diego, CA 92155-5490

Mailing address

Comnavsurfpac 2841 Rendova Rd
San Diego, CA 92155-5490
Phone (808) 473-2553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231213002005 GU Practitioner - Pulmonary Disease 2264670215 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-P-2023-001GUMDAnesthesiology Physician
00027000ALMDGeneral Practice Physician
MD60346379WAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Jun 15, 2016 Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Nov 29, 2023 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Jun 15, 2016 Accepting new patients
Providence Health & Services Washington Current Accepting new patients
Providence Health & Services Washington CurrentSince Oct 16, 2017 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince May 20, 2013 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine Current Accepting new patients
Providence Health & Services Washington Internal Medicine CurrentSince Oct 16, 2017 Accepting new patients
Multicare Health System CurrentSince May 20, 2013 Accepting new patients

Locations

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

202 N Division St
Ste 103
Auburn, WA 98001
Phone (253) 333-2630

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

914 S Scheuber Rd
Centralia, WA 98531
Phone (360) 330-8516

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1053360057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COMNAVSURFPAC 2841 RENDOVA RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921555490",
            "telephone_number": "808-473-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMNAVSURFPAC 2841 RENDOVA RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921555490",
            "telephone_number": "808-473-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARTAIN",
        "first_name": "NEIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GU",
            "license": "MD-P-2023-001",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "MD60346379",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "00027000",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WA",
            "license": "MD60346379",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60346379",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.