Active NPI
Geoffrey Sheean
- Specialist
- La Jolla, CA
National Provider Identifier
1326124736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A79636
- Practice address
- 9350 Campus Point Dr
LL-B
La Jolla, CA 92037-1300 - Phone
- (858) 657-8540
- NPI assigned
- Oct 27, 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 |
|---|---|---|---|---|
| Specialist | 174400000X | A79636 | CA | Primary |
Addresses
Primary practice location
9350 Campus Point Dr
LL-B
La Jolla, CA 92037-1300
Mailing address
402 Dickinson St
Suite 190
San Diego, CA 92103-6902
Phone (619) 543-5300
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 |
|---|---|---|---|
| A79636 | CA | MD | Specialist |
| 79636 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327536000000",
"number": "1326124736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 DICKINSON ST",
"address_2": "SUITE 190",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921036902",
"telephone_number": "619-543-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9350 CAMPUS POINT DR",
"address_2": "LL-B",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371300",
"telephone_number": "858-657-8540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEEAN",
"first_name": "GEOFFREY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2012-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A79636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.