San Diego Center for Integrative Medicine Inc a Ca PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A6031 Issued in CA

Legal business name

SAN DIEGO CENTER FOR INTEGRATIVE MEDICINE INC A CA PC

Practice address

8875 La Mesa Blvd
La Mesa, CA 91942-5434

Phone

(619) 670-8028

Fax

(619) 670-9675

NPI assigned

Dec 15, 2010

Organization subpart

No

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

Authorized official

Name

Joseph P. Aiello, M.D.

Title

President

Phone

(619) 670-8028

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1477856367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6331 DWANE AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203835",
            "telephone_number": "619-670-8028",
            "fax_number": "619-670-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8875 LA MESA BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919425434",
            "telephone_number": "619-670-8028",
            "fax_number": "619-670-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO CENTER FOR INTEGRATIVE MEDICINE INC A CA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "AIELLO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-670-8028",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in La Mesa, CA
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.