Active NPI
Andrews Prof Nursing Corp
- Family Nurse Practitioner
- San Diego, CA
National Provider Identifier
1346011566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- ANDREWS PROF NURSING CORP
- Doing business as
- Andrews Primary Care
- Practice address
- 3500 5TH Ave Ste 103
San Diego, CA 92103-5020 - Phone
- (619) 203-4209
- NPI assigned
- Jan 16, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Andrews, NURSE PRACTITIONER
- Title
- Owner
- Phone
- (619) 203-4209
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
3500 5TH Ave Ste 103
San Diego, CA 92103-5020
Mailing address
3825 Centre St Unit 25
San Diego, CA 92103-3620
Phone (619) 203-4209
Other names 1
- Andrews Primary Care
National Provider Directory
National Provider DirectoryLocations
3500 5th Ave
Ste 103
San Diego, CA 92103
Phone (619) 203-4209
3914 3rd Ave
Ste 1
San Diego, CA 92103
Phone (619) 203-4209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713744000000",
"number": "1346011566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3825 CENTRE ST UNIT 25",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921033620",
"telephone_number": "619-203-4209",
"fax_number": "619-367-0240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 5TH AVE STE 103",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921035020",
"telephone_number": "619-203-4209"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDREWS PROF NURSING CORP",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-16",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A",
"authorized_official_last_name": "ANDREWS",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "619-203-4209",
"authorized_official_credential": "NURSE PRACTITIONER"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Andrews Primary Care",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.