Active NPI
Peter H.B. McCreight, M.D.
- Diagnostic Radiology Physician
- La Jolla, CA
National Provider Identifier
1083665236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G17585
- Practice address
- 10666 N Torrey Pines Rd
La Jolla, CA 92037-1027 - Phone
- (858) 678-6886
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | G17585 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | G17585 | CA | Primary |
Addresses
Primary practice location
10666 N Torrey Pines Rd
La Jolla, CA 92037-1027
Mailing address
10170 Sorrento Valley Rd
San Diego, CA 92121-1604
Phone (858) 784-5888
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G175850 | Medicaid | CA | |
| 00G175850 | Other | CA | BLUE SHIELD PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17585 | CA | MD | Dentist |
| G17585 | CA | MD | Neuroradiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| La Jolla Radiology Medical Group - Diagnosis, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Open Air MRI Centers Medical Group, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Scripps Clinic Medical Group | Past | Accepting new patients | |
| Imaging Healthcare Specialists Medical Group, Inc. | Diagnostic Radiology | Past | Accepting new patients |
Locations
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
Interoperability endpoints
- pmccreight8144@scrippshlth.medalliesdirect.net
Organizations & group practices 5
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.
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1689627317
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1750498093
-
- Vascular & Interventional Radiology Physician
- San Diego, CA
- NPI 1164475174
Diagnostic Radiology
-
- Multi-Specialty Clinic/Center
- San Diego, CA
- NPI 1124003280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420761600000",
"number": "1083665236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10170 SORRENTO VALLEY RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921211604",
"telephone_number": "858-784-5888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10666 N TORREY PINES RD",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371027",
"telephone_number": "858-678-6886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCREIGHT",
"first_name": "PETER",
"middle_name": "H.B.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2015-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "CA",
"license": "G17585",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G17585",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G175850",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PIN",
"identifier": "00G175850",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.