John L Otis M D & Michele a Stewart M D Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

JOHN L OTIS M D & MICHELE A STEWART M D INC

Practice address

4150 Regents Park Row
250
La Jolla, CA 92037-9124

Phone

(858) 457-2180

Fax

(858) 457-2194

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Lee Otis, MDNPI 1235154535

Title

Owner

Phone

(619) 579-8745

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Lee Otis, MD

  • Psychiatry Physician
  • La Jolla, CA
  • NPI 1235154535
  Medicare reassignment NPD Authorized official
• Patricia Louise Gilbert, MD

  • Geriatric Psychiatry Physician
  • El Cajon, CA
  • NPI 1134160203
  NPD (past)
• Julia Beatriz Morrill, RN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Encinitas, CA
  • NPI 1326367814
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1417980939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1679 E MAIN ST",
            "address_2": "205",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920215212",
            "telephone_number": "619-579-8745",
            "fax_number": "619-457-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 REGENTS PARK ROW",
            "address_2": "250",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920379124",
            "telephone_number": "858-457-2180",
            "fax_number": "858-457-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN L OTIS M D & MICHELE A STEWART M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "OTIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-579-8745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farahnaz Shireen Joarder, M.D.
• Sharon M. Joe, O.D.
• Soohyun Joe, MD, PHD
• John E. Lofthus, DDS, Inc.
• John H. Serocki, MD, Apc
• John M. Hassler, M.D., Inc
• Mira Maria John, MD
• Allen D. Johnson, M.D.
• Christine Leigh Johnson, MD
• Douglas Christian Johnson, PH.D.

• Psychiatry Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.