Organization Active NPI

H F Holcomb MD Med Corp

  • Ophthalmology Physician
  • San Diego, CA
National Provider Identifier
1356367395
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
C36698 Issued in CA
Legal business name
H F HOLCOMB MD MED CORP
Practice address
4501 Mission Bay Dr Ste 3F
San Diego, CA 92109-4926
Phone
(858) 272-1202
Fax
(858) 272-1205
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Authorized official

Name
Dr. Harry F Holcomb, M.D.
Title
President
Phone
(858) 272-1202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X C36698 CA Primary

Addresses

Primary practice location

4501 Mission Bay Dr Ste 3F
San Diego, CA 92109-4926

Mailing address

4501 Mission Bay Dr Ste 3F
San Diego, CA 92109-4926
Phone (858) 272-1202

Other identifiers 1

IdentifierTypeStateIssuer
00C366980MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1356367395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 MISSION BAY DR STE 3F",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094926",
            "telephone_number": "858-272-1202",
            "fax_number": "858-272-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 MISSION BAY DR STE 3F",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094926",
            "telephone_number": "858-272-1202",
            "fax_number": "858-272-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H F HOLCOMB MD MED CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "HOLCOMB",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-272-1202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C36698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C366980",
            "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 Nov 27, 2013; 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.