Organization Active NPI

David Sizemore Jr MD a Professional

  • Surgery Physician
  • Hemet, CA
National Provider Identifier
1386833945
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G041592 Issued in CA
Legal business name
DAVID SIZEMORE JR MD A PROFESSIONAL
Practice address
1030 Saint John PL
Hemet, CA 92543-4422
Phone
(951) 929-2300
Fax
(951) 929-0584
NPI assigned
Oct 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Authorized official

Name
Dr. David Alden Sizemore, M.D.
Title
President
Phone
(951) 929-2300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X G041592 CA Primary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X G041592 CA

Addresses

Primary practice location

1030 Saint John PL
Hemet, CA 92543-4422

Mailing address

1030 Saint John PL
Hemet, CA 92543-4422
Phone (951) 929-2300

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ32029ZOtherCAMEDICARE CORPORATION NUMB

National Provider Directory

National Provider Directory

Locations

1030 Saint John Pl
Hemet, CA 92543
Phone (951) 929-2300

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1386833945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 SAINT JOHN PL",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434422",
            "telephone_number": "951-929-2300",
            "fax_number": "951-929-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 SAINT JOHN PL",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434422",
            "telephone_number": "951-929-2300",
            "fax_number": "951-929-0584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID SIZEMORE JR MD A PROFESSIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "SIZEMORE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALDEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-929-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G041592",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G041592",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CORPORATION NUMB",
            "identifier": "ZZZ32029Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.