Rebecca Diane-Fink Creekmore, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A159345 Issued in CA

Practice address

9600 Cuyamaca St Ste 101
Santee, CA 92071-2692

Phone

(619) 749-2150

NPI assigned

Apr 17, 2016

Last updated

Aug 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rebecca Diane Fink Former name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

{
    "created_epoch": "1460851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1659725562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 CUYAMACA ST STE 101",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920712692",
            "telephone_number": "619-749-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 CUYAMACA ST STE 101",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920712692",
            "telephone_number": "619-749-2150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "844 Jackman St",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920203053",
            "country_code": "US",
            "telephone_number": "619-442-2560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CREEKMORE",
        "first_name": "REBECCA",
        "middle_name": "DIANE-FINK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-17",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A159345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "FINK",
            "middle_name": "DIANE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• County of San Diego (Edgemoor Hospital Dpsnf)
• Wendell A Cox, DDS
• Ana M Coyle, LVN
• Breana Crane, OTR/L
• Linda Marie Crawford, PCD(DONA), CLC
• Daisha Crosby
• Liam Curran
• CVS
• Carla Daganasol, LVN
• Bahareh Daneshbod, D.C.

• Pediatrics Physician in Santee, CA
• Providers in Santee, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.