Organization Active NPI

Integramed San Diego

Doing business as IntegraMed

  • Psychiatry Physician
  • San Diego, CA
National Provider Identifier
1437613064
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
INTEGRAMED SAN DIEGO
Doing business as
IntegraMed
Practice address
7840 Mission Center CT Ste 202
San Diego, CA 92108-1321
Phone
(858) 376-7796
Fax
(800) 693-7058
NPI assigned
Jan 28, 2019
Last updated
Jan 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Authorized official

Name
Dr. Daniela M Tabacaru, MDNPI 1730384181
Title
Owner
Phone
(858) 376-7796

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

7840 Mission Center CT Ste 202
San Diego, CA 92108-1321

Mailing address

7840 Mission Center CT Ste 202
San Diego, CA 92108-1321
Phone (858) 376-7796

Other identifiers 1

IdentifierTypeStateIssuer
1730384181OtherCAINDIVIDUAL NPI BY NPPES

Other names 1

  • IntegraMed Doing business as

National Provider Directory

National Provider Directory

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": "1548633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548633600000",
    "number": "1437613064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7840 MISSION CENTER CT STE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081321",
            "telephone_number": "858-376-7796",
            "fax_number": "800-693-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7840 MISSION CENTER CT STE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081321",
            "telephone_number": "858-376-7796",
            "fax_number": "800-693-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRAMED SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-28",
        "last_updated": "2019-01-28",
        "status": "A",
        "authorized_official_last_name": "TABACARU",
        "authorized_official_first_name": "DANIELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-376-7796",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI BY NPPES",
            "identifier": "1730384181",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IntegraMed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 28, 2019; 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.