Individual provider Active NPI

Frank J Papatheofanis

  • Nuclear Medicine Physician
  • San Diego, CA
National Provider Identifier
1275702797
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
G81975 Issued in CA
Practice address
200 West Arbor Dr
Ucsd Radop;Pgu MC 8758
San Diego, CA 92103-8758
Phone
(619) 543-6681
Fax
(619) 543-1977
NPI assigned
Feb 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X G81975 CA Primary

Addresses

Primary practice location

200 West Arbor Dr
Ucsd Radop;Pgu MC 8758
San Diego, CA 92103-8758

Mailing address

200 West Arbor Dr
Ucsd Radop;Pgu MC 8758
San Diego, CA 92103-8758
Phone (619) 543-6681

Other identifiers 1

IdentifierTypeStateIssuer
00G819750MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
G81975CAMDNuclear Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1275702797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WEST ARBOR DR",
            "address_2": "UCSD RADOP;PGU MC 8758",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921038758",
            "telephone_number": "619-543-6681",
            "fax_number": "619-543-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WEST ARBOR DR",
            "address_2": "UCSD RADOP;PGU MC 8758",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921038758",
            "telephone_number": "619-543-6681",
            "fax_number": "619-543-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPATHEOFANIS",
        "first_name": "FRANK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "CA",
            "license": "G81975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G819750",
            "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 Feb 28, 2008; 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.