Active NPI
Pacific Endocrinology
- Endocrinology, Diabetes & Metabolism Physician
- San Diego, CA
National Provider Identifier
1619502572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- PACIFIC ENDOCRINOLOGY
- Practice address
- 1855 1St Ave Ste 200B
San Diego, CA 92101-2685 - Phone
- (619) 432-1033
- Fax
- (619) 310-5426
- NPI assigned
- Mar 11, 2020
- Last updated
- Mar 17, 2020
- 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
- Lisa Strahm, MD
- Title
- Ceo
- Phone
- (619) 432-1033
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | Primary |
Addresses
Primary practice location
1855 1St Ave Ste 200B
San Diego, CA 92101-2685
Mailing address
1855 1St Ave Ste 200B
San Diego, CA 92101-2685
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Endocrinology, Diabetes & Metabolism Physician
- San Diego, CA
- NPI 1952708075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1584403200000",
"number": "1619502572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1855 1ST AVE STE 200B",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921012685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 1ST AVE STE 200B",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921012685",
"telephone_number": "619-432-1033",
"fax_number": "619-310-5426"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFIC ENDOCRINOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-11",
"last_updated": "2020-03-17",
"certification_date": "2020-03-17",
"status": "A",
"authorized_official_last_name": "STRAHM",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "619-432-1033",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
- Pacific Coast Rehabilitation and Pain Management
- Pacific Coast Surgical Group
- Pacific Colllege of Oriental Medicine, Inc
- Pacific Counseling Associates
- Pacific Emergency Providers, a Prof. Corp.
- Pacific Express Transportation
- Pacific Health Care Systems, Inc. (San Diego Homecare Supplies)
- Pacific Imaging and Treatment
- Pacific Integrative Therapy Inc
- Pacific Medical Network
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.