Active NPI
Peter M Seymour, MD
- Psychiatry Physician
- La Jolla, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G49897
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G498970 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Indian Health Council | Current | Accepting new patients | |
| Southern Indian Health Council | Current | Accepting new patients | |
| Southern Indian Health Council | Current | Accepting new patients | |
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Allan H. Rabin, M.D., Inc. | Psychiatry | Past | 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
- 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.
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
CA
-
- Clinic/Center
- Alpine, CA
- NPI 1346247947
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Boulevard, CA
- NPI 1902562416
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.