Active NPI
Jeffrey Michael Conti, RN
- Registered Nurse
- San Diego, CA
National Provider Identifier
1114532629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95139878
- Practice address
- 3851 Rosecrans St
San Diego, CA 92110-3115 - Phone
- (619) 531-5800
- Fax
- (619) 542-4186
- NPI assigned
- Sep 11, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95139878 | CA | Primary |
Addresses
Primary practice location
3851 Rosecrans St
San Diego, CA 92110-3115
Mailing address
3851 Rosecrans St
San Diego, CA 92110-3115
Phone (619) 531-5800
Other practice location 1
4519 North Ave Unit 2
San Diego, CA 92116-2610
Phone (330) 801-3003
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95139878 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599782400000",
"number": "1114532629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3851 ROSECRANS ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921103115",
"telephone_number": "619-531-5800",
"fax_number": "619-542-4186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3851 ROSECRANS ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921103115",
"telephone_number": "619-531-5800",
"fax_number": "619-542-4186"
}
],
"practiceLocations": [
{
"address_1": "4519 North Ave Unit 2",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921162610",
"country_code": "US",
"telephone_number": "330-801-3003",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONTI",
"first_name": "JEFFREY",
"middle_name": "MICHAEL",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-11",
"last_updated": "2020-09-11",
"certification_date": "2020-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95139878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
- Nova Bella Conte, CD & PCD(DONA), CLC
- Contemporary Health Solutions
- Contemporary Medicine a Medical Corporation
- Contemporary OB GYN a Medical Corporation
- Brittany Conti
- Amber Leigh Contillo, ARNP
- Continental Billing Consulting
- Continued Care LTC Pharmacy LLC
- Lisa Marie Contois, MS, ATC
- Amy Contreras-Barrera
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.