Delbert L. Secrist Jr. M.D. a Medical Corp.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G12084 Issued in CA

Legal business name

DELBERT L. SECRIST JR. M.D. A MEDICAL CORP.

Practice address

141 N. Acacia Ave.
Ste a
Solana Beach, CA 92015-1130

Phone

(858) 755-9324

Fax

(760) 751-9067

NPI assigned

Sep 22, 2010

Last updated

Sep 22, 2010By 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

Dr. Delbert L. Secrist Jr. M.D Jr.

Title

Owner

Phone

(858) 755-9324

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1578871786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 N. ACACIA AVE",
            "address_2": "STE A",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920151130",
            "telephone_number": "858-755-9324",
            "fax_number": "760-751-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 N. ACACIA AVE.",
            "address_2": "STE A",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920151130",
            "telephone_number": "858-755-9324",
            "fax_number": "760-751-9067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELBERT L. SECRIST JR. M.D. A MEDICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "SECRIST JR. M.D",
        "authorized_official_first_name": "DELBERT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-755-9324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G12084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Solana Beach, CA
• Providers in Solana Beach, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.