San Diego Pacific Oncology and Hematology Associates Inc

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

G48926 Issued in CA

Legal business name

SAN DIEGO PACIFIC ONCOLOGY AND HEMATOLOGY ASSOCIATES INC

Practice address

9850 Genesee Ave
Ste 830
La Jolla, CA 92037-1224

Phone

(858) 552-1410

Fax

(858) 552-0929

NPI assigned

Jun 17, 2006

Last updated

Apr 2, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Irene Lustria

Title

Administrator

Phone

(858) 309-6585

Specialties & licenses 8

Addresses

Other identifiers 7

Locations

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angel H Bair, NP

  • Nurse Practitioner
  • Encinitas, CA
  • NPI 1235218389
  NPD (past)
• Kathleen Marie Drennan, BSN, MSN, APRN-C

  • Family Nurse Practitioner
  • Vista, CA
  • NPI 1811902661
  NPD (past)
• Dawn Elders, NP

  • Hematology & Oncology Physician
  • Escondido, CA
  • NPI 1891875860
  NPD (past)
• Eleanor A Flores, NP

  • Nurse Practitioner
  • San Diego, CA
  • NPI 1730264250
  NPD (past)
• Edward P Huynh, MD

  • Hematology & Oncology Physician
  • San Diego, CA
  • NPI 1770501769
  NPD (past)
• Susan Hope Klein, N.P.

  • Family Nurse Practitioner
  • San Diego, CA
  • NPI 1831522010
  NPD (past)
• Patricia Ann Kormanik, NP

  • Nurse Practitioner
  • San Diego, CA
  • NPI 1093895047
  NPD (past)
• Sarah Lynn McGhee, NP

  • Adult Health Nurse Practitioner
  • San Diego, CA
  • NPI 1043467020
  NPD (past)
• Apryl Denise Pidding, MSN, NP-C

  • Family Nurse Practitioner
  • Escondido, CA
  • NPI 1518259936
  NPD (past)
• Carey Elizabeth Pozniak, NP

  • Nurse Practitioner
  • Encinitas, CA
  • NPI 1134327844
  NPD (past)
• Scott A Shuford, NP

  • Family Nurse Practitioner
  • Rancho Mirage, CA
  • NPI 1477568350
  NPD (past)
• Dorene M Boydston, NP

  • Nurse Practitioner
  • Boise, ID
  • NPI 1073524989

  Medical Oncology

  NPD (past)

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1396780235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE",
            "address_2": "STE 830",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371224",
            "telephone_number": "858-552-1410",
            "fax_number": "858-552-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE",
            "address_2": "STE 830",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371224",
            "telephone_number": "858-552-1410",
            "fax_number": "858-552-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO PACIFIC ONCOLOGY AND HEMATOLOGY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "LUSTRIA",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "858-309-6585",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G48926",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G15618",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "20A8293",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A50309",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A52663",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G34053",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "A69490",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "G64594",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI BESSUDO",
            "identifier": "1003888074",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI SINCLAIR",
            "identifier": "1356300230",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI MCCLAY",
            "identifier": "1497727465",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI BANERJEE",
            "identifier": "1164497855",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI EISENBERG",
            "identifier": "1831162627",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FRAKES",
            "identifier": "1174595144",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI JUST",
            "identifier": "1205808920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Hematology & Oncology Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Hematology & Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.