Organization Active NPI

John Desnoyers MD, Inc.

  • Emergency Medicine Physician
  • San Diego, CA
National Provider Identifier
1366848517
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G81907 Issued in CA
Legal business name
JOHN DESNOYERS MD, INC.
Practice address
4370 La Jolla Village Dr
400
San Diego, CA 92122-1249
Phone
(619) 461-1898
Fax
(619) 461-0198
NPI assigned
Nov 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Authorized official

Name
Dr. John Desnoyers, MDNPI 1760423420
Title
Owner
Phone
(619) 461-1898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X G81907 CA Primary

Addresses

Primary practice location

4370 La Jolla Village Dr
400
San Diego, CA 92122-1249

Mailing address

PO Box 90544
San Diego, CA 92169-2544
Phone (619) 461-1898

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1366848517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90544",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921692544",
            "telephone_number": "619-461-1898",
            "fax_number": "619-461-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 LA JOLLA VILLAGE DR",
            "address_2": "400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221249",
            "telephone_number": "619-461-1898",
            "fax_number": "619-461-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN DESNOYERS MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "DESNOYERS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-461-1898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G81907",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 17, 2014; 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.