San Diego Regional Head & Neck Center

Primary specialty

Otology & Neurotology PhysicianTaxonomy code 207YX0901X

License

FNP41747 Issued in CA

Legal business name

SAN DIEGO REGIONAL HEAD & NECK CENTER

Practice address

6645 Alvarado Rd
Ste 4000
San Diego, CA 92120-5208

Phone

(619) 229-7100

Fax

(619) 229-4938

NPI assigned

Dec 13, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Perry Mansfield, MD

Title

Owner

Phone

(619) 229-7100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1235407685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6645 ALVARADO RD",
            "address_2": "STE 4000",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205208",
            "telephone_number": "619-229-7100",
            "fax_number": "619-229-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6645 ALVARADO RD",
            "address_2": "STE 4000",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205208",
            "telephone_number": "619-229-7100",
            "fax_number": "619-229-4938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO REGIONAL HEAD & NECK CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "MANSFIELD",
        "authorized_official_first_name": "PERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-229-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "CA",
            "license": "FNP41747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Diego Psychology Center
• San Diego Psychology Group, Inc
• San Diego Psychotherapy
• San Diego Psychotherapy Services
• San Diego Pulmonary and Critical Care Medical Group Inc.
• San Diego Regional Health Information Exchange
• San Diego Regional P.E.T. Center, LLC
• San Diego Rehab
• San Diego Rehab and Fitness
• San Diego Rescue Mission

• Otology & Neurotology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Otology & Neurotology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.