Organization Active NPI

Healthstream Medical Inc

  • Physical Medicine & Rehabilitation Physician
  • San Diego, CA
National Provider Identifier
1407426471
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Authorized official

Name
Eric Steven Korsh, MDNPI 1992760169
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.