La Jolla Psychiatric Associates

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

LA JOLLA PSYCHIATRIC ASSOCIATES

Practice address

5190 Governor Dr.
Suite 102
San Diego, CA 92122-2846

Phone

(858) 452-9969

Fax

(858) 452-5729

NPI assigned

Jul 12, 2006

Last updated

Apr 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Robert Zetumer, M.D.NPI 1952332983

Title

President

Phone

(858) 452-9969

Specialties & licenses 1

Addresses

Locations

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.

• Matthew Robert Zetumer, M.D.

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1952332983
  Authorized official Same address or phone

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1720013170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5190 GOVERNOR DR.",
            "address_2": "SUITE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222846",
            "telephone_number": "858-452-9969",
            "fax_number": "858-452-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 GOVERNOR DR.",
            "address_2": "SUITE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222846",
            "telephone_number": "858-452-9969",
            "fax_number": "858-452-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA JOLLA PSYCHIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "ZETUMER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-452-9969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.