Organization Active NPI

Gilda Tafreshi, MD, Inc.

  • Neurology Physician
  • San Diego, CA
National Provider Identifier
1659673994
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A103111 Issued in CA
Legal business name
GILDA TAFRESHI, MD, INC.
Practice address
4033 3Rd Ave
Suite 206
San Diego, CA 92103-2117
Phone
(619) 294-9292
Fax
(619) 294-3311
NPI assigned
Nov 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Authorized official

Name
Dr. Gilda Tafreshi, M.D.
Title
President
Phone
(619) 294-9292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X A103111 CA Primary

Addresses

Primary practice location

4033 3Rd Ave
Suite 206
San Diego, CA 92103-2117

Mailing address

4033 3Rd Ave
Suite 206
San Diego, CA 92103-2117
Phone (619) 294-9292

Other identifiers 1

IdentifierTypeStateIssuer
A103111OtherCALICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1659673994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4033 3RD AVE",
            "address_2": "SUITE 206",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032117",
            "telephone_number": "619-294-9292",
            "fax_number": "619-294-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 3RD AVE",
            "address_2": "SUITE 206",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032117",
            "telephone_number": "619-294-9292",
            "fax_number": "619-294-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILDA TAFRESHI, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "TAFRESHI",
        "authorized_official_first_name": "GILDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-294-9292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A103111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A103111",
            "state": "CA"
        }
    ],
    "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 Sep 24, 2012; 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.