David M Graham MD Apc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A34436 Issued in CA

Legal business name

DAVID M GRAHAM MD APC

Practice address

305 East 8TH Street
National City, CA 91950-2311

Phone

(619) 477-0084

Fax

(619) 477-2066

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David Michael Graham, MDNPI 1639338601

Title

Doctor

Phone

(619) 477-0084

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DAVID M GRAHAM MD APC Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Michael Graham, M.D.

  • Family Medicine Physician
  • National City, CA
  • NPI 1639338601
  Medicare reassignment NPD Authorized official
• Corinne Beck, FNP

  • Family Nurse Practitioner
  • San Diego, CA
  • NPI 1972849701
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1790878494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 EAST 8TH STREET",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502311",
            "telephone_number": "619-477-0084",
            "fax_number": "619-477-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 EAST 8TH STREET",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502311",
            "telephone_number": "619-477-0084",
            "fax_number": "619-477-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M GRAHAM MD APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "619-477-0084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A34436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A344360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAVID M GRAHAM MD APC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• CV Pharmacy Holding LLC (Care Health Pharmacy)
• Jalil Dakissaga, PMHNP
• Daniel & Max, LLC (Stanton Optical)
• Ada Belle Darling, RN, BSN
• Evelyn Datu, FNP
• Anna David, M.D.
• Rebecca David
• Christopher Michael Day, MD
• Sharlene Joyce Sison De Castro
• Dave De Jesus, OTR/L

• Family Medicine Physician in National City, CA
• Providers in National City, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.

Verify at the official NPI Registry.