Active NPI
Peter Attia, M.D.
- Surgery Physician
- San Diego, CA
National Provider Identifier
1144596339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A96452
- Practice address
- 6020 Cornerstone CT. W
Suite 240
San Diego, CA 92121 - Phone
- (858) 346-6313
- NPI assigned
- Apr 1, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A96452 | CA | Primary |
Addresses
Primary practice location
6020 Cornerstone CT. W
Suite 240
San Diego, CA 92121
Mailing address
6020 Cornerstone CT. W
Suite 240
San Diego, CA 92121
Phone (858) 346-6313
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A96452 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427155200000",
"number": "1144596339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6020 CORNERSTONE CT. W",
"address_2": "SUITE 240",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92121",
"telephone_number": "858-346-6313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6020 CORNERSTONE CT. W",
"address_2": "SUITE 240",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92121",
"telephone_number": "858-346-6313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATTIA",
"first_name": "PETER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-01",
"last_updated": "2015-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A96452",
"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 Mar 24, 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.