Organization Active NPI

Gail T. Tominaga, M.D., Inc.

  • Trauma Surgery Physician
  • La Jolla, CA
National Provider Identifier
1720267743
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
G57834 Issued in CA
Legal business name
GAIL T. TOMINAGA, M.D., INC.
Practice address
9888 Genesee Ave
LJ-601
La Jolla, CA 92037-1205
Phone
(858) 626-6362
Fax
(858) 626-6354
NPI assigned
Oct 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Gail T. Tominaga, M.D.
Title
Director, Manager
Phone
(858) 626-6362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0127X G57834 CA Primary

Addresses

Primary practice location

9888 Genesee Ave
LJ-601
La Jolla, CA 92037-1205

Mailing address

9888 Genesee Ave
LJ-601
La Jolla, CA 92037-1205
Phone (858) 626-6362

Other identifiers 1

IdentifierTypeStateIssuer
00G578340MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1720267743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9888 GENESEE AVE",
            "address_2": "LJ-601",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371205",
            "telephone_number": "858-626-6362",
            "fax_number": "858-626-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9888 GENESEE AVE",
            "address_2": "LJ-601",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371205",
            "telephone_number": "858-626-6362",
            "fax_number": "858-626-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAIL T. TOMINAGA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "TOMINAGA",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "DIRECTOR, MANAGER",
        "authorized_official_telephone_number": "858-626-6362",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": "CA",
            "license": "G57834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G578340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.