Carmel Valley Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

C50161 Issued in CA

Legal business name

CARMEL VALLEY PEDIATRICS

Practice address

12395 El Camino Real
Suite 315
San Diego, CA 92130-3082

Phone

(858) 794-5437

Fax

(858) 794-5439

NPI assigned

Sep 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Chrystal De Freitas, M.D.NPI 1437166527

Title

Owner

Phone

(858) 794-5437

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chrystal De Freitas, MD

  • Pediatrics Physician
  • San Diego, CA
  • NPI 1437166527
  NPD (past) Authorized official
• Theresa E Dailey, MD

  • Pediatrics Physician
  • San Diego, CA
  • NPI 1750359287
  NPD (past)
• Suzanne Mills, M.D.

  • Pediatric Adolescent Medicine Physician
  • San Diego, CA
  • NPI 1366478398
  NPD (past)
• Mona Sobel, M.D.

  • Pediatrics Physician
  • San Diego, CA
  • NPI 1326161837
  NPD (past)

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1689860108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12395 EL CAMINO REAL",
            "address_2": "SUITE 315",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303082",
            "telephone_number": "858-794-5437",
            "fax_number": "858-794-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12395 EL CAMINO REAL",
            "address_2": "SUITE 315",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303082",
            "telephone_number": "858-794-5437",
            "fax_number": "858-794-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEL VALLEY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "DE FREITAS",
        "authorized_official_first_name": "CHRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-794-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C50161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Carlton, RN
• Sharmila G Carlton, MD
• Nishmet D. Carmedy
• Carmel Mountain Vision Care Optometry, Inc
• Carmel Valley Neurology PC
• Carmel Valley Surgical Center
• Carmel Valley Surgical Center LLC
• Carmel Valley Women'S Health Inc.
• Mary F Carmella, D.C.
• Hannah Carmen, PT

• Pediatrics Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.