Organization Active NPI

Bissonette, Frey, Greenberg, Greer, Malkus, Springer

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1255337622
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A23489 Issued in CA
Legal business name
BISSONETTE, FREY, GREENBERG, GREER, MALKUS, SPRINGER
Doing business as
center for family health
Practice address
6280 Jackson Dr
Ste 8
San Diego, CA 92119-3436
Phone
(619) 464-1608
Fax
(619) 641-8738
NPI assigned
Jun 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Authorized official

Name
Dr. Roy Cass Springer, MD
Title
Corporate President
Phone
(619) 464-1608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X A23489 CA Primary

Addresses

Primary practice location

6280 Jackson Dr
Ste 8
San Diego, CA 92119-3436

Mailing address

6280 Jackson Dr
Ste 8
San Diego, CA 92119-3436
Phone (619) 464-1608

Other names 1

  • center for family health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bissonette Frey Greenberg Greer Malkus Springer2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1255337622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6280 JACKSON DR",
            "address_2": "STE 8",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921193436",
            "telephone_number": "619-464-1608",
            "fax_number": "619-641-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 JACKSON DR",
            "address_2": "STE 8",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921193436",
            "telephone_number": "619-464-1608",
            "fax_number": "619-641-8738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISSONETTE, FREY, GREENBERG, GREER, MALKUS, SPRINGER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "SPRINGER",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "CASS",
        "authorized_official_title_or_position": "CORPORATE PRESIDENT",
        "authorized_official_telephone_number": "619-464-1608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A23489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "center for family health",
            "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 Sep 28, 2007; 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.