Organization Active NPI

Dove Neuropsychiatric and Pain

  • Neurology Physician
  • San Diego, CA
National Provider Identifier
1578883674
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A55667 Issued in CA
Legal business name
DOVE NEUROPSYCHIATRIC AND PAIN
Practice address
3939 Ruffin Road
San Diego, CA 92123
Phone
(858) 810-0382
Fax
(858) 633-0382
NPI assigned
Jun 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Authorized official

Name
Kristi Ann Dove, M.D.
Title
M.D./President
Phone
(858) 810-0382

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X A55667 CA Primary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X A55667 CA

Addresses

Primary practice location

3939 Ruffin Road
San Diego, CA 92123

Mailing address

PO Box 1927
La Jolla, CA 92038-1927
Phone (858) 810-0382

National Provider Directory

National Provider Directory

Locations

3737 Moraga Ave
Ste A204
San Diego, CA 92117
Phone (858) 270-1848

NPI Registry JSON

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1578883674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1927",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920381927",
            "telephone_number": "858-810-0382",
            "fax_number": "858-633-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 RUFFIN ROAD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "858-810-0382",
            "fax_number": "858-633-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVE NEUROPSYCHIATRIC AND PAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-11",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "DOVE",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "M.D./PRESIDENT",
        "authorized_official_telephone_number": "858-810-0382",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A55667",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "A55667",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.