Diane Kopeika Gottschalk, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G56136 Issued in CA

Practice address

10221 Wateridge Cir
San Diego, CA 92121-2702

Phone

(619) 578-2000

NPI assigned

Jan 30, 2013

Reactivated

Jun 10, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1376881078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10221 WATERIDGE CIR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10221 WATERIDGE CIR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212702",
            "telephone_number": "619-578-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTSCHALK",
        "first_name": "DIANE",
        "middle_name": "KOPEIKA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-30",
        "last_updated": "2016-06-10",
        "deactivation_date": "2014-02-24",
        "reactivation_date": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G56136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Jaymes Gottlieb, MD
• Stephen L. Gottlieb, MD
• Natalie Marie Gottlob, PA-C
• Bradey R Gotto, PHARMD
• Andrea Gottschalk, LPCC
• Michael Everett Gottschalk, M.D., PH.D.
• Kim Robin Gottshall, PHD, PT, ATC
• Christine Gottung, LCSW
• Jordan Goucher
• Jennifer Goudreau, M.A.

• Emergency Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.