NPIMap

Organization Active NPI

Artemis Medical Group, Inc.

  • Addiction (Substance Use Disorder) Psychologist
  • San Diego, CA
National Provider Identifier
1144644170
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
License
A67412 Issued in CA
Legal business name
ARTEMIS MEDICAL GROUP, INC.
Practice address
770 Washington St
Suite 200
San Diego, CA 92103-2209
Phone
(858) 278-3636
Fax
(858) 278-3637
NPI assigned
Feb 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Authorized official

Name
Dr. Vishaal Mehra, MD
Title
President
Phone
(858) 278-3647

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TA0400X A67412 CA Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

770 Washington St
Suite 200
San Diego, CA 92103-2209

Mailing address

770 Washington St
Suite 200
San Diego, CA 92103-2209
Phone (858) 278-3636

National Provider Directory

National Provider Directory

Locations

770 Washington St
Ste 200
San Diego, CA 92103
Phone (858) 278-3636

Practitioners & affiliated clinicians

Practitioners 3

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": "1392076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1144644170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 WASHINGTON ST",
            "address_2": "SUITE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032209",
            "telephone_number": "858-278-3636",
            "fax_number": "858-278-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 WASHINGTON ST",
            "address_2": "SUITE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032209",
            "telephone_number": "858-278-3636",
            "fax_number": "858-278-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTEMIS MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-11",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "MEHRA",
        "authorized_official_first_name": "VISHAAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-278-3647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A67412",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Nov 5, 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.

Verify at the official NPI Registry.