Active NPI
Leon Fajerman
- Psychiatry Physician
- San Diego, CA
National Provider Identifier
1588999080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- LEON FAJERMAN
- Practice address
- 5858 Mount Alifan Dr
Ste 205
San Diego, CA 92111-2723 - Phone
- (858) 565-1177
- Fax
- (619) 240-7971
- NPI assigned
- Oct 16, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leon Fajerman, M.D
- Title
- Doctor
- Phone
- (858) 565-1177
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
5858 Mount Alifan Dr
Ste 205
San Diego, CA 92111-2723
Mailing address
1642 Melrose Ave
Chula Vista, CA 91911-5915
Phone (858) 565-1177
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1255651200000",
"number": "1588999080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1642 MELROSE AVE",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919115915",
"telephone_number": "858-565-1177",
"fax_number": "619-240-7971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5858 MOUNT ALIFAN DR",
"address_2": "STE 205",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921112723",
"telephone_number": "858-565-1177",
"fax_number": "619-240-7971"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEON FAJERMAN",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-16",
"last_updated": "2009-10-16",
"status": "A",
"authorized_official_last_name": "FAJERMAN",
"authorized_official_first_name": "LEON",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "858-565-1177",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"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 Oct 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.