Active NPI
John Cleary, M.D., Inc.
- Neurological Surgery Physician
- San Diego, CA
National Provider Identifier
1255645248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- JOHN CLEARY, M.D., INC.
- Practice address
- 7920 Frost St Ste 406
San Diego, CA 92123-4298 - Phone
- (858) 292-8911
- NPI assigned
- Aug 2, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Cleary, M.D.
- Title
- President
- Phone
- (858) 292-8911
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
7920 Frost St Ste 406
San Diego, CA 92123-4298
Mailing address
7920 Frost St Ste 406
San Diego, CA 92123-4298
Phone (858) 292-8911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A23315 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- John Cleary MD Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- San Diego, CA
- NPI 1336354489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280707200000",
"number": "1255645248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7920 FROST ST STE 406",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234298",
"telephone_number": "858-292-8911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7920 FROST ST STE 406",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234298",
"telephone_number": "858-292-8911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN CLEARY, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-02",
"last_updated": "2010-08-02",
"status": "A",
"authorized_official_last_name": "CLEARY",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "858-292-8911",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A23315",
"state": "CA"
}
],
"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 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.