Simona C Deaciuc, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A62670 Issued in CA

Practice address

4147 Adams Avenue
San Diego, CA 92116-2509

Phone

(619) 281-1932

Fax

(619) 281-1947

NPI assigned

Jul 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eric B Raimo M D a Professional Medical Corporation

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1255845962
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1285666263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4147 ADAMS AVENUE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162509",
            "telephone_number": "619-281-1932",
            "fax_number": "619-281-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4147 ADAMS AVENUE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162509",
            "telephone_number": "619-281-1932",
            "fax_number": "619-281-1947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEACIUC",
        "first_name": "SIMONA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A62670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Karyn De Vries
• Walker Gregory De Witt, LMFT
• Jason J De Young, M.D., PHARM.D.
• Stacy De-Levi, PA-C
• Lauren Justine Dea, PHARMD
• Deaf Community Services of San Diego Inc
• Tim Deak, RADT-1
• December Deal, M.S. CCC-SLP
• John Cletus Deal, DDS
• Taylor Martin Deal, M.D.

• Psychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.