Individual provider Active NPI

David Feifel, M.D.

  • Psychiatry Physician
  • La Jolla, CA
National Provider Identifier
1053467738
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A51236 Issued in CA
Practice address
3252 Holiday CT Ste 112
La Jolla, CA 92037-1808
Phone
(858) 412-4130
Fax
(858) 412-5088
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A51236 CA Primary

Addresses

Primary practice location

3252 Holiday CT Ste 112
La Jolla, CA 92037-1808

Mailing address

3252 Holiday CT Ste 112
La Jolla, CA 92037-1808
Phone (858) 412-4130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20101021001344 CA Practitioner - Psychiatry 6305039348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Toronto, Faculty of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kadima Neuropsychiatry Institute Medical CorpGroup PAC ID 6305125816, 5 clinicians

Practice addresses (Care Compare)

3252 Holiday CT
Suite 112
La Jolla, CA 92037-0027

3252 Holiday CT
Suite 112
La Jolla, CA 92037-1808
Phone (858) 412-4130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A51236CAMDPsychiatry Physician
51236CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kadima Neuropsychiatry Institute, Medical Corp Psychiatry CurrentSince Aug 20, 2020 Accepting new patients

Locations

3252 Holiday Ct
Ste 112
La Jolla, CA 92037
Phone (858) 412-4130

Organizations & group practices 1

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1053467738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3252 HOLIDAY CT STE 112",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371808",
            "telephone_number": "858-412-4130",
            "fax_number": "858-412-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3252 HOLIDAY CT STE 112",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371808",
            "telephone_number": "858-412-4130",
            "fax_number": "858-412-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEIFEL",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A51236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.