Organization Active NPI

David J Tanzer MD Inc a Professional Corporatio

  • Specialist
  • San Diego, CA
National Provider Identifier
1245509652
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DAVID J TANZER MD INC A PROFESSIONAL CORPORATIO
Practice address
4910 Directors PL
Suite 150
San Diego, CA 92121-3811
Phone
(855) 767-2555
Fax
(855) 767-2556
NPI assigned
Dec 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Authorized official

Name
Mr. David J. TanzerNPI 1205814555
Title
Owner
Phone
(855) 767-2555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

4910 Directors PL
Suite 150
San Diego, CA 92121-3811

Mailing address

4910 Directors PL
Suite 150
San Diego, CA 92121-3811
Phone (855) 767-2555

Other names 1

  • David J Tanzer MD PC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1245509652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 DIRECTORS PL",
            "address_2": "SUITE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213811",
            "telephone_number": "855-767-2555",
            "fax_number": "855-767-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 DIRECTORS PL",
            "address_2": "SUITE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213811",
            "telephone_number": "855-767-2555",
            "fax_number": "855-767-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J TANZER MD INC A PROFESSIONAL CORPORATIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-14",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "TANZER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-767-2555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David J Tanzer MD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 8, 2012; 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.