Active NPI
Peter Edward Cadman, M.D.
- Nephrology Physician
- El Cajon, CA
National Provider Identifier
1437256005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- A61995
- Practice address
- 1625 E Main St Ste 201
El Cajon, CA 92021-5244 - Phone
- (619) 593-1212
- Fax
- (619) 442-9956
- NPI assigned
- Sep 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | A61995 | CA | Primary |
Addresses
Primary practice location
1625 E Main St Ste 201
El Cajon, CA 92021-5244
Mailing address
13360 Corte Playa Cancun
San Diego, CA 92124-1539
Phone (858) 278-8073
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A619950 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A61995 | CA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Nephrology | Current | Accepting new patients |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients |
Locations
4168 Front St
San Diego, CA 92103
Phone (619) 471-0420
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
Organizations & group practices 3
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.
-
- Family Medicine Physician
- San Diego, CA
- NPI 1578672184
-
- Nephrology Physician
- San Diego, CA
- NPI 1003934803
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1437256005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13360 CORTE PLAYA CANCUN",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921241539",
"telephone_number": "858-278-8073",
"fax_number": "858-278-1928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 E MAIN ST STE 201",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920215244",
"telephone_number": "619-593-1212",
"fax_number": "619-442-9956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CADMAN",
"first_name": "PETER",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-17",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "A61995",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A619950",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.