San Diego Professional Group, P. C.

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

License

20A6119 Issued in CA

Legal business name

SAN DIEGO PROFESSIONAL GROUP, P. C.

Practice address

24552 Pacific Park Dr
Aliso Viejo, CA 92656-3033

Phone

(615) 727-8416

Fax

(615) 457-8094

NPI assigned

Aug 16, 2016

Organization subpart

No

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

Authorized official

Name

Mark Calarco, DO

Title

Facility Ceo

Phone

(615) 712-5862

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1699220004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 POWELL PL",
            "address_2": "ATTN: LEGAL DEPARTMENT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277514",
            "telephone_number": "615-732-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24552 PACIFIC PARK DR",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563033",
            "telephone_number": "615-727-8416",
            "fax_number": "615-457-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO PROFESSIONAL GROUP, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "CALARCO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "FACILITY CEO",
        "authorized_official_telephone_number": "615-712-5862",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "20A6119",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "CA",
            "license": "20A6119",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "CA",
            "license": "20A6119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Salazar
• Andrew Cesar Salgado
• Jeevan Singh Sall, MD
• Scott Sall
• Samuel H. Yee DDS Inc
• Susan Elsie Sanchez-Kuluris, PT
• Emily Sosebee Sanders
• Gurminder Sandhu, PH.D.
• Robin Ein Sandoval
• Usha Rani Sannidhi Venkata, M.D.

• Addiction Medicine (Psychiatry & Neurology) Physician in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.