Active NPI
Thuan Diep, M.D.
- Pediatrics Physician
- San Diego, CA
National Provider Identifier
1477948479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A146685
- Practice address
- 12036 Scripps Highlands Dr Ste 102
San Diego, CA 92131-5155 - Phone
- (858) 566-4444
- NPI assigned
- Apr 6, 2015
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A146685 | CA | Primary |
Addresses
Primary practice location
12036 Scripps Highlands Dr Ste 102
San Diego, CA 92131-5155
Mailing address
12036 Scripps Highlands Dr Ste 102
San Diego, CA 92131-5155
Phone (858) 566-4444
Other practice location 1
3020 Childrens Way # Mc5124
San Diego, CA 92123-4223
Phone (858) 966-6764
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A146685 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556236800000",
"number": "1477948479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12036 SCRIPPS HIGHLANDS DR STE 102",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921315155",
"telephone_number": "858-566-4444",
"fax_number": "858-566-3321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12036 SCRIPPS HIGHLANDS DR STE 102",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921315155",
"telephone_number": "858-566-4444"
}
],
"practiceLocations": [
{
"address_1": "3020 Childrens Way # Mc5124",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921234223",
"country_code": "US",
"telephone_number": "858-966-6764",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIEP",
"first_name": "THUAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-06",
"last_updated": "2019-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A146685",
"primary": true
}
],
"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 Apr 26, 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.