NPIMap

Organization Active NPI

Shari M Krevitz MD, Inc

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1073876900
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A103546 Issued in CA
Legal business name
SHARI M KREVITZ MD, INC
Practice address
10777 Canyon GRV
#48
San Diego, CA 92130-4926
Phone
(858) 345-0131
Fax
(858) 345-0131
NPI assigned
Jun 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Authorized official

Name
Dr. Shari M Krevitz, MDNPI 1902051899
Title
Owner
Phone
(858) 345-0131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A103546 CA Primary

Addresses

Primary practice location

10777 Canyon GRV
#48
San Diego, CA 92130-4926

Mailing address

10777 Canyon GRV
#48
San Diego, CA 92130-4926
Phone (858) 345-0131

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1073876900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10777 CANYON GRV",
            "address_2": "#48",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921304926",
            "telephone_number": "858-345-0131",
            "fax_number": "858-345-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10777 CANYON GRV",
            "address_2": "#48",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921304926",
            "telephone_number": "858-345-0131",
            "fax_number": "858-345-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARI M KREVITZ MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "KREVITZ",
        "authorized_official_first_name": "SHARI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-345-0131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A103546",
            "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 25, 2016; 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.