NPIMap

Organization Active NPI

Ea Health Physicians Medical Group Texas PA

  • General Practice Physician
  • San Diego, CA
National Provider Identifier
1063786523
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
EA HEALTH PHYSICIANS MEDICAL GROUP TEXAS PA
Practice address
12396 World Trade Dr Ste 303
San Diego, CA 92128-3792
Phone
(858) 759-4765
Fax
(858) 201-4987
NPI assigned
Mar 1, 2012
Last updated
Jan 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Arthur L Gruen, M.D.
Title
MD/Owner
Phone
(858) 759-4765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

12396 World Trade Dr Ste 303
San Diego, CA 92128-3792

Mailing address

PO Box 227257
Dallas, TX 75222-7257
Phone (858) 759-4765

National Provider Directory

National Provider Directory

Locations

400 N Beach St
Ste B
Fort Worth, TX 76111
Phone (817) 831-1750

1901 N MacArthur Blvd
Irving, TX 75061
Phone (972) 484-5192

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1063786523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 227257",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752227257",
            "telephone_number": "858-759-4765",
            "fax_number": "858-201-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12396 WORLD TRADE DR STE 303",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283792",
            "telephone_number": "858-759-4765",
            "fax_number": "858-201-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EA HEALTH PHYSICIANS MEDICAL GROUP TEXAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "GRUEN",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "858-759-4765",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "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 Jan 9, 2024; 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.