Active NPI
Healthstream Medical Inc
- Physical Medicine & Rehabilitation Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- HEALTHSTREAM MEDICAL INC
- Practice address
- 3750 Convoy St Ste 175
San Diego, CA 92111-9739 - Phone
- (858) 715-8444
- Fax
- (858) 715-8324
- NPI assigned
- Jun 30, 2021
- Last updated
- Jun 30, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Steven Korsh, MD
- Title
- President
- Phone
- (858) 354-6489
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | NU | Primary |
Addresses
Primary practice location
3750 Convoy St Ste 175
San Diego, CA 92111-9739
Mailing address
3750 Convoy St Ste 175
San Diego, CA 92111-9739
Phone (858) 715-8444
National Provider Directory
National Provider DirectoryLocations
3750 Convoy St
Ste 175
San Diego, CA 92111
Phone (858) 836-1155
Practitioners & affiliated clinicians
Practitioners 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625011200000",
"number": "1407426471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3750 CONVOY ST STE 175",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921119739",
"telephone_number": "858-715-8444",
"fax_number": "858-715-8324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3750 CONVOY ST STE 175",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921119739",
"telephone_number": "858-715-8444",
"fax_number": "858-715-8324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHSTREAM MEDICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-30",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A",
"authorized_official_last_name": "KORSH",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "STEVEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "858-354-6489",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
- Healthcare in Motion (Coastal Mobile Xray)
- Healthcare Services, Inc. (San Diego Lighthouse)
- Healthchoice Primary Care Inc (HealthChoice Primary Care Clinic)
- Healthright 360
- Healthstar LLC
- Healthstream Physical Therapy, Inc.
- Healthy Connections Counseling, a Psychological Corporation (Healthy Connections Counseling Center)
- Healthy Eating Rd Inc
- Healthy Horizonstransport LLC
- Healthy Kids, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.