Bissonette,Frey,Greenberg,Malkus

Primary specialty

SpecialistTaxonomy code 174400000X

License

A77230 Issued in CA

Legal business name

BISSONETTE,FREY,GREENBERG,MALKUS

Doing business as

center for family health

Practice address

6280 Jackson Dr
Ste 8
San Diego, CA 92119-3436

Phone

(619) 464-1607

Fax

(619) 461-8662

NPI assigned

Jun 27, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Matthew Daub, MD

Title

Medical Doctor

Phone

(619) 464-1607

Specialties & licenses 1

Addresses

Other names 1

• center for family health Doing business as

Tax ID family

Bissonette Frey Greenberg Greer Malkus Springer2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bissonette, Frey, Greenberg, Greer, Malkus, Springer

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1255337622
  NPD tax ID

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639175433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6280 JACKSON DR",
            "address_2": "STE 8",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921193436",
            "telephone_number": "619-464-1607",
            "fax_number": "619-461-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 JACKSON DR",
            "address_2": "STE 8",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921193436",
            "telephone_number": "619-464-1607",
            "fax_number": "619-461-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISSONETTE,FREY,GREENBERG,MALKUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAUB",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "619-464-1607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A77230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "center for family health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Bismark
• Danielle Bissell, RN
• Derek Michael Bisson, CATC
• Lorna A Bisson, MD
• Bissonette, Frey, Greenberg, Greer, Malkus, Springer
• Shawn Joseph Bissonnette, MD
• Meeka Biswas
• Bita Tahvildari, D.D.S.
• Carrie Bitsko, A.T.C.
• Natali K. Bittar, M.D.

• Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.