Organization Active NPI

Andrews Prof Nursing Corp

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1346011566
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on Apr 22, 2024

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.