Individual provider Active NPI

Peter M Seymour, MD

  • Psychiatry Physician
  • La Jolla, CA
National Provider Identifier
1164598207
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G49897 Issued in CA
Practice address
7777 Girard Ave
Ste 200
La Jolla, CA 92037-4430
Phone
(858) 576-1788
Fax
(858) 576-0610
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G49897 CA Primary

Addresses

Primary practice location

7777 Girard Ave
Ste 200
La Jolla, CA 92037-4430

Mailing address

7777 Girard Ave
Ste 200
La Jolla, CA 92037-4430
Phone (858) 352-6009

Other identifiers 1

IdentifierTypeStateIssuer
00G498970MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080401000173 CA Practitioner - Psychiatry 5890871859 Reassigns benefits to 1 organization
Practice locations: La Jolla, CA
I20230429000181 TX Practitioner - Psychiatry 5890871859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Boston University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Indian Health Council 18 clinicians

Practice addresses (Care Compare)

36350 Church Rd
Campo, CA 91906-2715
Phone (619) 445-1188

4058 Willows Rd
Alpine, CA 91901-1668

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Indian Health Council Current Accepting new patients
Southern Indian Health Council CurrentSince Feb 1, 2023 Accepting new patients
Southern Indian Health Council CurrentSince Feb 1, 2023 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Sep 1, 2007 Accepting new patients
Scripps Health Current Accepting new patients
Allan H. Rabin, M.D., Inc. Psychiatry PastSince May 19, 2010 Accepting new patients

Locations

5001 Willows Rd
Ste J111
Alpine, CA 91901
Phone (619) 445-1188

4058 Willows Rd
Alpine, CA 91901
Phone (619) 445-1188

5005 Willows Rd
#J111
Alpine, CA 91901
Phone (619) 445-1188

36350 Church Rd
Campo, CA 91906
Phone (619) 445-1188

6501 Coyle Ave
Carmichael, CA 95608
Phone (916) 537-5000

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

4060 4th Ave
Ste 445
San Diego, CA 92103
Phone (619) 296-9883

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Interoperability endpoints

  • Direct secure messaging: pseymour43001@scrippshlth.medalliesdirect.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1164598207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 GIRARD AVE",
            "address_2": "STE 200",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374430",
            "telephone_number": "858-352-6009",
            "fax_number": "858-352-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 GIRARD AVE",
            "address_2": "STE 200",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374430",
            "telephone_number": "858-576-1788",
            "fax_number": "858-576-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYMOUR",
        "first_name": "PETER",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G49897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G498970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.