Active NPI
Ashish Agrawal MD Inc
- Pulmonary Disease Physician
- San Diego, CA
National Provider Identifier
1730333014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- A67061
- Legal business name
- ASHISH AGRAWAL MD INC
- Practice address
- 4020 Eagle St
San Diego, CA 92103-1917 - Phone
- (619) 417-1369
- NPI assigned
- Nov 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ashish T Agrawal, M.D.
- Title
- President
- Phone
- (619) 417-1369
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | A67061 | CA | |
| Pulmonary Disease Physician | 207RP1001X | A67061 | CA | Primary |
Addresses
Primary practice location
4020 Eagle St
San Diego, CA 92103-1917
Mailing address
PO Box 81026
San Diego, CA 92138-1026
Phone (619) 417-1369
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265673600000",
"number": "1730333014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 81026",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921381026",
"telephone_number": "619-417-1369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4020 EAGLE ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921031917",
"telephone_number": "619-417-1369"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASHISH AGRAWAL MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-12",
"last_updated": "2010-02-09",
"status": "A",
"authorized_official_last_name": "AGRAWAL",
"authorized_official_first_name": "ASHISH",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "619-417-1369",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "A67061",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A67061",
"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 Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.