Individual provider Active NPI

John Thomas Alexander II, MD

  • Plastic Surgery Physician
  • San Diego, CA
National Provider Identifier
1558467316
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
G80280 Issued in CA
Practice address
9339 Genesee Ave Ste P39
San Diego, CA 92121-2120
Phone
(858) 455-7557
Fax
(858) 455-1287
NPI assigned
Sep 16, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X G80280 CA Primary

Addresses

Primary practice location

9339 Genesee Ave Ste P39
San Diego, CA 92121-2120

Mailing address

9339 Genesee Ave Ste P39
San Diego, CA 92121-2120
Phone (858) 455-7557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100831000365 CA Practitioner - Plastic and Reconstructive Surgery 7012031875 Practice locations: San Diego, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Ronald J. Edelson MD a Medical Corporation Plastic Surgery Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jalexander71236@scrippshlth.medalliesdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1558467316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9339 GENESEE AVE STE P39",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212120",
            "telephone_number": "858-455-7557",
            "fax_number": "858-455-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9339 GENESEE AVE STE P39",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212120",
            "telephone_number": "858-455-7557",
            "fax_number": "858-455-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G80280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.