Pediatric Specialty Partners Inc.

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

Legal business name

PEDIATRIC SPECIALTY PARTNERS INC.

Practice address

8929 University Center LN Ste 208
San Diego, CA 92122-1054

Phone

(858) 625-0809

Fax

(858) 625-0835

NPI assigned

Nov 21, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca Naomi Cherry, MDNPI 1558581082

Title

Physician/Owner

Phone

(858) 625-0809

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Naomi Cherry, MD

  • Pediatric Gastroenterology Physician
  • Elkins Park, PA
  • NPI 1558581082
  NPD Authorized official

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542758400000",
    "number": "1316416118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8929 UNIVERSITY CENTER LN STE 208",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221054",
            "telephone_number": "858-625-0809",
            "fax_number": "858-625-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8929 UNIVERSITY CENTER LN STE 208",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221054",
            "telephone_number": "858-625-0809",
            "fax_number": "858-625-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SPECIALTY PARTNERS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-21",
        "last_updated": "2018-11-21",
        "status": "A",
        "authorized_official_last_name": "CHERRY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "NAOMI",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "858-625-0809",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Cardiology of San Diego
• Pediatric Neurology Therapeutics
• Pediatric Office Anesthesia Specialists
• Pediatric Orthopedic and Scoliosis Center of San Diego, Inc.
• Pediatric Primary Care Associated Medical Group
• Celeste Pedraza
• Kassandra Pedraza
• Maritzabel Pedrazzini
• Christian Pedretti, L.AC.
• Emily Pedrick

• Pediatric Gastroenterology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatric Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.