Individual provider Active NPI

Thuan Diep, M.D.

  • Pediatrics Physician
  • San Diego, CA
National Provider Identifier
1477948479
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A146685 Issued in CA
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

Updated by the provider on Apr 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
A146685CAMDPediatrics 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.

Verify at the official NPI Registry.