Individual provider Active NPI

Abdikadir Diriye, RRT

  • Critical Care Registered Respiratory Therapist
  • San Diego, CA
National Provider Identifier
1710658885
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Registered Respiratory TherapistTaxonomy code 2279C0205X
License
26896 Issued in CA
Practice address
2401 Commercial St
San Diego, CA 92113-1283
Phone
(619) 739-0228
NPI assigned
Sep 27, 2021
Last updated
Sep 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Registered Respiratory Therapist 2279C0205X 26896 CA Primary

Addresses

Primary practice location

2401 Commercial St
San Diego, CA 92113-1283

Mailing address

2401 Commercial St
San Diego, CA 92113-1283
Phone (619) 739-0228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26896CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1710658885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 COMMERCIAL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921131283",
            "telephone_number": "619-739-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 COMMERCIAL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921131283",
            "telephone_number": "619-739-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRIYE",
        "first_name": "ABDIKADIR",
        "name_prefix": "Mr.",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279C0205X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Critical Care",
            "state": "CA",
            "license": "26896",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 27, 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.