Active NPI
Chelsie E Byrnes, M.D.
- Pediatric Critical Care Medicine Physician
- San Diego, CA
National Provider Identifier
1801903489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 227675
- Practice address
- 34520 Bob Wilson Dr
BLDG 1, 2ND Floor, Pediatric ICU
San Diego, CA 92134-2098 - Phone
- (619) 453-6648
- NPI assigned
- Aug 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 227675 | MA | |
| Pediatrics Physician | 208000000X | A125485 | CA | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 227675 | MA | Primary |
| Pediatric Critical Care Medicine Physician | 2080P0203X | A125485 | CA |
Addresses
Primary practice location
34520 Bob Wilson Dr
BLDG 1, 2ND Floor, Pediatric ICU
San Diego, CA 92134-2098
Mailing address
34800 Bob Wilson Dr
San Diego, CA 92134-2030
Phone (619) 453-6648
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A125485 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449619200000",
"number": "1801903489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34800 BOB WILSON DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921342030",
"telephone_number": "619-453-6648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34520 BOB WILSON DR",
"address_2": "BLDG 1, 2ND FLOOR, PEDIATRIC ICU",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921342098",
"telephone_number": "619-453-6648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRNES",
"first_name": "CHELSIE",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2015-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "227675",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A125485",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "MA",
"license": "227675",
"primary": true
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "CA",
"license": "A125485",
"primary": false
}
],
"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 Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.