Active NPI
Osteopathic Center for Children
Doing business as Osteopathic Center For Children and Families
- Pediatrics Physician
- San Diego, CA
National Provider Identifier
1619004157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Pediatrics Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.