Individual provider Active NPI

Luisa B Fijman, M.D.

  • Psychiatry Physician
  • La Jolla, CA
National Provider Identifier
1386839157
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C50394 Issued in CA
Practice address
9834 Genesee Ave Ste 427
La Jolla, CA 92037-1264
Phone
(858) 886-7222
Fax
(858) 886-7290
NPI assigned
Sep 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X C50394 CA Primary

Addresses

Primary practice location

9834 Genesee Ave Ste 427
La Jolla, CA 92037-1264

Mailing address

PO Box 1770
La Mesa, CA 91944-1770
Phone (858) 886-7222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090630000596 CA Practitioner - Psychiatry 9032260187 Reassigns benefits to 1 organization
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Diego CurrentSince Apr 26, 2010 Accepting new patients
County of San Diego CurrentSince Apr 26, 2010 Accepting new patients
County of San Diego Current Accepting new patients
Nubia J Swain MD Inc Psychiatry PastSince Nov 1, 2016 Accepting new patients

Locations

3853 Rosecrans St
San Diego, CA 92110
Phone (619) 615-0439

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1386839157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1770",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919441770",
            "telephone_number": "858-886-7222",
            "fax_number": "858-886-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE STE 427",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371264",
            "telephone_number": "858-886-7222",
            "fax_number": "858-886-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIJMAN",
        "first_name": "LUISA",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C50394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.