Iyabo Daramola MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A63633 Issued in CA

Legal business name

IYABO DARAMOLA MD INC

Doing business as

Caring Hearts Medical Clinic

Practice address

2401 Reo Dr
San Diego, CA 92139-3025

Phone

(619) 479-6767

Fax

(619) 434-8840

NPI assigned

Aug 11, 2006

Last updated

Sep 6, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Iyabo O Daramola, MDNPI 1851378236

Title

President

Phone

(619) 479-6767

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CARING HEARTS MEDICAL CLINIC Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 6

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.

• Iyabo O Daramola, MD

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1851378236
  Medicare reassignment NPD Authorized official
• Steven Richard Bayer

  • Physician Assistant
  • San Diego, CA
  • NPI 1750896502
  Medicare reassignment
• Cory Allison Vallance, PA-C

  • Physician Assistant
  • San Diego, CA
  • NPI 1710104062
  Medicare reassignment
• George Ifeanyichukwu Anyaji, MD

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1437161304
  NPD (past)
• Amsale Denbela, FNP

  • Primary Care Nurse Practitioner
  • San Diego, CA
  • NPI 1851412373
  NPD (past)
• Elena Maria Bautista Sacamay, MD

  • Internal Medicine Physician
  • San Ysidro, CA
  • NPI 1992777882
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1114938214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 675833",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920675833",
            "telephone_number": "619-479-6767",
            "fax_number": "619-434-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 REO DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921393025",
            "telephone_number": "619-479-6767",
            "fax_number": "619-434-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IYABO DARAMOLA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "DARAMOLA",
        "authorized_official_first_name": "IYABO",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-479-6767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A63633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0098920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARING HEARTS MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denis T Iwamoto, OD
• Kathryn Ann Iwata
• Chinazom Bessie Iwuaba
• Angel Iwuoma
• Joachim Hanno IX, M.D.
• Victoria U Iyamba
• Ravi Iyengar, M.D.
• Siddharth Kumar Iyengar, MD
• Mallika Varadarajan Iyer, PT, DPT
• Victoria Grace Iyer, NP

• Internal Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.