Active NPI
John D Ponsiglione, M.D.
- Gastroenterology Physician
- San Diego, CA
National Provider Identifier
1760488795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- G67990
- Practice address
- 3330 3Rd Ave
Ste 300
San Diego, CA 92103-5639 - Phone
- (619) 497-6100
- Fax
- (619) 692-9702
- NPI assigned
- Jun 23, 2005
- Reactivated
- Mar 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | G67990 | CA | Primary |
Addresses
Primary practice location
3330 3Rd Ave
Ste 300
San Diego, CA 92103-5639
Mailing address
3330 3Rd Ave
Ste 300
San Diego, CA 92103-5639
Phone (619) 497-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G679900 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grossmont Hospital Corporation | Past | Accepting new patients | |
| Paradise Valley Hospital | Past | Accepting new patients | |
| Scripps Health | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- La Mesa, CA
- NPI 1528041811
-
- General Acute Care Hospital
- National City, CA
- NPI 1598756710
-
- Clinical Medical Laboratory
- La Jolla, CA
- NPI 1427034990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405900800000",
"number": "1760488795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3330 3RD AVE",
"address_2": "STE 300",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921035639",
"telephone_number": "619-497-6100",
"fax_number": "619-692-9702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 3RD AVE",
"address_2": "STE 300",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921035639",
"telephone_number": "619-497-6100",
"fax_number": "619-692-9702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONSIGLIONE",
"first_name": "JOHN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2014-07-21",
"deactivation_date": "2006-03-16",
"reactivation_date": "2006-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "G67990",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G679900",
"state": "CA"
}
],
"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 Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.