NPIMap

Organization Active NPI

Comphibgru Three

  • Emergency Medicine Physician
  • San Diego, CA
National Provider Identifier
1245210467
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
20A6114 Issued in CA
Legal business name
COMPHIBGRU THREE
Practice address
3985 Cummings Rd
Suite 4
San Diego, CA 92136-5218
Phone
(619) 556-1466
NPI assigned
Jan 23, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Dr. Steven Lemar Banks, D.O.
Title
Group Medical Officer
Phone
(619) 556-1466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X 20A6114 CA Primary

Addresses

Primary practice location

3985 Cummings Rd
Suite 4
San Diego, CA 92136-5218

Mailing address

3985 Cummings Rd
Suite 4
San Diego, CA 92136-5218
Phone (619) 556-1466

National Provider Directory

National Provider Directory

Locations

3985 Cummings Rd
Ste 4
San Diego, CA 92136
Phone (619) 556-0662

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245210467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3985 CUMMINGS RD",
            "address_2": "SUITE 4",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921365218",
            "telephone_number": "619-556-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3985 CUMMINGS RD",
            "address_2": "SUITE 4",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921365218",
            "telephone_number": "619-556-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPHIBGRU THREE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "LEMAR",
        "authorized_official_title_or_position": "GROUP MEDICAL OFFICER",
        "authorized_official_telephone_number": "619-556-1466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A6114",
            "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.