James R McClurg MD Professional Corp

Primary specialty

SpecialistTaxonomy code 174400000X

License

G70807 Issued in CA

Legal business name

JAMES R MCCLURG MD PROFESSIONAL CORP

Practice address

5830 Oberlin Dr Ste 102
San Diego, CA 92121

Phone

(619) 297-9500

Fax

(619) 297-9508

NPI assigned

Jan 28, 2009

Last updated

May 31, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Rafael McClurg, M.D.NPI 1306817895

Title

President

Phone

(619) 297-9500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• La Jolla Orthopaedic Surgery Center LP

  dba Orthopaedic Surgery Center of La Jolla

  • Ambulatory Surgical Clinic/Center
  • La Jolla, CA
  • NPI 1972503233

  Member Of

  NPD member

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.

• James Rafael McClurg, M.D.

  • Orthopaedic Surgery Physician
  • San Diego, CA
  • NPI 1306817895
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1497993570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 OBERLIN DR STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213753",
            "telephone_number": "619-297-9500",
            "fax_number": "619-297-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 OBERLIN DR STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92121",
            "telephone_number": "619-297-9500",
            "fax_number": "619-297-9508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R MCCLURG MD PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "MCCLURG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-297-9500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G70807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1306817895",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• James P Tasto MD Inc
• James R Vevaina MD Professional Corporation
• James R. Vevaina, M.D. (Corp.)
• James Santiago Grisolia, M.D. Inc
• James Scalone DO Incorporated
• James W Loye DDS PC

• Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.