Patrick Rhoten MD a Medical Corporation

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

A62823 Issued in CA

Legal business name

PATRICK RHOTEN MD A MEDICAL CORPORATION

Practice address

4510 Executive Dr Ste 125
San Diego, CA 92121-3054

Phone

(858) 200-0470

Fax

(858) 200-0474

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Rex Patrick Rhoten, MD

Title

President

Phone

(858) 200-0470

Specialties & licenses 1

Addresses

Other names 1

• R. L. Patrick Rhoten MD, INC Other name

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1538286752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 EXECUTIVE DR STE 125",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213054",
            "telephone_number": "858-200-0470",
            "fax_number": "858-200-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 EXECUTIVE DR STE 125",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213054",
            "telephone_number": "858-200-0470",
            "fax_number": "858-200-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK RHOTEN MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2018-11-06",
        "status": "A",
        "authorized_official_last_name": "RHOTEN",
        "authorized_official_first_name": "REX",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-200-0470",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A62823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R. L. Patrick Rhoten MD, INC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "R. L. Patrick Rhoten MD, INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Neurological Surgery Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.