Organization Active NPI

Osteopathic Center for Children

Doing business as Osteopathic Center For Children and Families

  • Pediatrics Physician
  • San Diego, CA
National Provider Identifier
1619004157
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
OSTEOPATHIC CENTER FOR CHILDREN
Doing business as
Osteopathic Center For Children and Families
Practice address
3706 Ruffin Road
Suite 117
San Diego, CA 92123
Phone
(619) 583-7611
Fax
(619) 583-7611
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Authorized official

Name
Dr. Shawn K Centers, DO
Title
Osteopathic Pediatrician/ Med. Dir
Phone
(619) 583-7611

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

3706 Ruffin Road
Suite 117
San Diego, CA 92123

Mailing address

3706 Ruffin Rd
Suite 117
San Diego, CA 92123-1812
Phone (619) 583-7611

Other names 1

  • Osteopathic Center For Children and Families Doing business as

National Provider Directory

National Provider Directory

Locations

3706 Ruffin Rd
Ste 117
San Diego, CA 92123
Phone (619) 583-7611

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435795200000",
    "number": "1619004157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 RUFFIN RD",
            "address_2": "SUITE 117",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231812",
            "telephone_number": "619-583-7611",
            "fax_number": "619-583-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 RUFFIN ROAD",
            "address_2": "SUITE 117",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "619-583-7611",
            "fax_number": "619-583-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSTEOPATHIC CENTER FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2015-07-02",
        "status": "A",
        "authorized_official_last_name": "CENTERS",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OSTEOPATHIC PEDIATRICIAN/ MED. DIR",
        "authorized_official_telephone_number": "619-583-7611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Osteopathic Center For Children and Families",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 2, 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.