Active NPI
Geoffrey M Stiles, MD
- Surgery Physician
- San Diego, CA
National Provider Identifier
1568578987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G57934
- Practice address
- 7910 Frost St
Suite 430
San Diego, CA 92123-2795 - Phone
- (858) 279-5599
- Fax
- (858) 279-5848
- NPI assigned
- Aug 21, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G57934 | CA | Primary |
Addresses
Primary practice location
7910 Frost St
Suite 430
San Diego, CA 92123-2795
Mailing address
7910 Frost St
Suite 430
San Diego, CA 92123-2795
Phone (858) 279-5599
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G579340 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G57934 | CA | MD | Surgery Physician |
| 57934 | CA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568578987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7910 FROST ST",
"address_2": "SUITE 430",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232795",
"telephone_number": "858-279-5599",
"fax_number": "858-279-5848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7910 FROST ST",
"address_2": "SUITE 430",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232795",
"telephone_number": "858-279-5599",
"fax_number": "858-279-5848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STILES",
"first_name": "GEOFFREY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "G57934",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G579340",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
- Jon David Stiffler, M.D.
- Liliani Kaitapu Stiffler
- Cheryl Ann Stigall, LCSW
- Carren Jean Stika, PH.D.
- Bradford Hugh Stiles, M.D.
- Jaqueline Stiles, RN
- Still Waters Aquamation & Transport, Inc (Still Waters Cremation Services)
- Bradly James Stilley, IDC
- Jayne Victoria Stillings, M.D.
- Kristina Coale Stillwell, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.