Organization Active NPI

Artemis Internal Medicine a Medical Corporation

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1215019583
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
WA77361B Issued in CA
Legal business name
ARTEMIS INTERNAL MEDICINE A MEDICAL CORPORATION
Practice address
3434 Midway Drive
Suite 2007
San Diego, CA 92110
Phone
(619) 226-6685
Fax
(619) 226-6661
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ngocbich Thi Nguyen, MD
Title
President
Phone
(619) 226-6685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X WA77361B CA Primary

Addresses

Primary practice location

3434 Midway Drive
Suite 2007
San Diego, CA 92110

Mailing address

3434 Midway Drive
Suite 2007
San Diego, CA 92110
Phone (619) 226-6685

National Provider Directory

National Provider Directory

Locations

4060 4th Ave
Ste 207
San Diego, CA 92103

3434 Midway Dr
Ste 2007
San Diego, CA 92110
Phone (619) 226-6685

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215019583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 MIDWAY DRIVE",
            "address_2": "SUITE 2007",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92110",
            "telephone_number": "619-226-6685",
            "fax_number": "619-226-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 MIDWAY DRIVE",
            "address_2": "SUITE 2007",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92110",
            "telephone_number": "619-226-6685",
            "fax_number": "619-226-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTEMIS INTERNAL MEDICINE A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "NGOCBICH",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-226-6685",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "WA77361B",
            "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 Aug 22, 2020; 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.