Active NPI
San Diego Eye and Face
- Ophthalmic Plastic and Reconstructive Surgery Physician
- San Diego, CA
National Provider Identifier
1669202198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Legal business name
- SAN DIEGO EYE AND FACE
- Practice address
- 3399 1St Ave
San Diego, CA 92103-5601 - Phone
- (858) 284-0608
- NPI assigned
- Aug 7, 2024
- Last updated
- Aug 7, 2024
- 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. Kellie Satterfield, MD
- Title
- President
- Phone
- (541) 301-0608
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 |
|---|---|---|---|---|
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | Primary |
Addresses
Primary practice location
3399 1St Ave
San Diego, CA 92103-5601
Mailing address
3911 Cleveland Ave # 635175
San Diego, CA 92103-3402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3911 Cleveland Ave
#635175
San Diego, CA 92103
Practitioners & 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.
-
- Ophthalmology Physician
- San Diego, CA
- NPI 1629509336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722988800000",
"number": "1669202198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3911 CLEVELAND AVE # 635175",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921033402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3399 1ST AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921035601",
"telephone_number": "858-284-0608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN DIEGO EYE AND FACE",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-07",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A",
"authorized_official_last_name": "SATTERFIELD",
"authorized_official_first_name": "KELLIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "541-301-0608",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207WX0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
- San Diego Digestive Disease Consultants, Inc. a Medical Group
- San Diego Divorce Counseling Center
- San Diego Emergency Physician Services, Inc.
- San Diego Emergency Physicians, Inc.
- San Diego Endoscopy Center
- San Diego Eye Bank
- San Diego Eye Group, Inc.
- San Diego Eyecor, LLC
- San Diego Face and Neck Specialties, Inc
- San Diego Family Acupuncture
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.