Infectious Diseases Physicians of San Diego, Inc.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

G41894 Issued in CA

Legal business name

INFECTIOUS DISEASES PHYSICIANS OF SAN DIEGO, INC.

Practice address

4136 Bachman PL
San Diego, CA 92103-2028

Phone

(619) 298-1443

Fax

(619) 298-6188

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Tammy Pappas

Title

Office Manager

Phone

(619) 298-1443

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

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

• Sindalisa Hean, MD

  • Infectious Disease Physician
  • San Diego, CA
  • NPI 1235559436
  Medicare reassignment Care Compare group NPD
• Laya Manthani Reddy, M.D.

  • Infectious Disease Physician
  • San Diego, CA
  • NPI 1861928921
  Medicare reassignment Care Compare group NPD
• Gonzalo Rafael Ballon-Landa, M.D.

  • Infectious Disease Physician
  • San Diego, CA
  • NPI 1326266081
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1073547667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4136 BACHMAN PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032028",
            "telephone_number": "619-298-1443",
            "fax_number": "619-298-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4136 BACHMAN PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032028",
            "telephone_number": "619-298-1443",
            "fax_number": "619-298-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASES PHYSICIANS OF SAN DIEGO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "PAPPAS",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "619-298-1443"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "G41894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G418940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arasu Indrajith
• Mario B Ines, M.D.
• Pauline Lily-Ann Ines
• Maria Alejandra Infante, PH.D.
• Ricky Rodrigo Infante
• Infinite Care Advocates, Inc
• Infinity Recovery LLC
• Influx Psychological Services, Inc.
• Info Line of San Diego
• Infucare Medical Group of California Inc

• Infectious Disease Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.