Individual provider Active NPI

Francis Leroy Picklesimer II, DMT IDC

  • Military Health Care Provider
  • San Diego, CA
National Provider Identifier
1457638710
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military Health Care ProviderTaxonomy code 171000000X
Practice address
2930 Tarawa Rd
San Diego, CA 92155-5198
Phone
(619) 437-5393
Fax
(619) 437-5319
NPI assigned
Nov 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care Provider 171000000X Primary
Independent Duty Corpsman 1710I1002X

Addresses

Primary practice location

2930 Tarawa Rd
San Diego, CA 92155-5198

Mailing address

15698 Concord Ridge Ter
San Diego, CA 92127-4157
Phone (858) 349-4568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1457638710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15698 CONCORD RIDGE TER",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921274157",
            "telephone_number": "858-349-4568",
            "fax_number": "619-437-5319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 TARAWA RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921555198",
            "telephone_number": "619-437-5393",
            "fax_number": "619-437-5319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKLESIMER",
        "first_name": "FRANCIS",
        "middle_name": "LEROY",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "DMT IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Nov 14, 2011; 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.