Active NPI
Henry C Powell, MD, DSC, FRCPATH
- Neuropathology Physician
- San Diego, CA
National Provider Identifier
1295778348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuropathology Physician
- License
- A25597
- Practice address
- 200 West Arbor Drive, MC 8320
Ucsd Deparment of Pathology
San Diego, CA 92103 - Phone
- (619) 543-5966
- Fax
- (619) 543-3730
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuropathology Physician | 207ZN0500X | A25597 | CA | Primary |
Addresses
Primary practice location
200 West Arbor Drive, MC 8320
Ucsd Deparment of Pathology
San Diego, CA 92103
Mailing address
200 West Arbor Drive, MC 8320
Ucsd Deparment of Pathology
San Diego, CA 92103
Phone (619) 543-5966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A255970 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25597 | CA | MD | Dentist |
| A25597 | CA | MD | Neuropathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202342400000",
"number": "1295778348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WEST ARBOR DRIVE, MC 8320",
"address_2": "UCSD DEPARMENT OF PATHOLOGY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92103",
"telephone_number": "619-543-5966",
"fax_number": "619-543-3730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WEST ARBOR DRIVE, MC 8320",
"address_2": "UCSD DEPARMENT OF PATHOLOGY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92103",
"telephone_number": "619-543-5966",
"fax_number": "619-543-3730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "HENRY",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD, DSC, FRCPATH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2008-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207ZN0500X",
"taxonomy_group": "",
"desc": "Pathology, Neuropathology",
"state": "CA",
"license": "A25597",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A255970",
"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 7, 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.