Organization Active NPI

Jose E Otero MD Inc

  • Surgery of the Hand (Plastic Surgery) Physician
  • San Diego, CA
National Provider Identifier
1497112999
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
A30334 Issued in CA
Legal business name
JOSE E OTERO MD INC
Practice address
6367 Alvarado CT Ste 104
San Diego, CA 92120-4914
Phone
(619) 229-1211
Fax
(619) 229-1141
NPI assigned
Jan 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Authorized official

Name
Dr. Jose Enrique Otero, M.D.NPI 1033176763
Title
Owner
Phone
(619) 229-1211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2082S0105X A30334 CA Primary

Addresses

Primary practice location

6367 Alvarado CT Ste 104
San Diego, CA 92120-4914

Mailing address

6367 Alvarado CT Ste 104
San Diego, CA 92120-4914
Phone (619) 229-1211

National Provider Directory

National Provider Directory

Locations

6367 Alvarado Ct
Ste 104
San Diego, CA 92120
Phone (619) 229-1211

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": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1497112999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6367 ALVARADO CT STE 104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204914",
            "telephone_number": "619-229-1211",
            "fax_number": "619-229-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6367 ALVARADO CT STE 104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204914",
            "telephone_number": "619-229-1211",
            "fax_number": "619-229-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE E OTERO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "OTERO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-229-1211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "CA",
            "license": "A30334",
            "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 Jan 28, 2016; 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.