Emad Tadros MD a Professional Corporation

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A49500 Issued in CA

Legal business name

EMAD TADROS MD A PROFESSIONAL CORPORATION

Practice address

4060 Fourth Ave Ste 102
San Diego, CA 92103-2120

Phone

(619) 692-8118

Fax

(619) 800-7385

NPI assigned

Oct 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Emad G Tadros MD a Prof Corp, MD

Title

Psychiatrist

Phone

(619) 692-8118

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emad Guirgus Tadros, MD

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1487696878
  Medicare reassignment

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1811185804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 FOURTH AVE STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032120",
            "telephone_number": "619-692-8118",
            "fax_number": "619-800-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 FOURTH AVE STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032120",
            "telephone_number": "619-692-8118",
            "fax_number": "619-800-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMAD TADROS MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "TADROS  MD A PROF CORP",
        "authorized_official_first_name": "EMAD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "619-692-8118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A49500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A495000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ely Family First Chiropractic, Inc
• Rachel Elisabeth Ely-Konoske, CNM
• Isabelle Ely
• Payton Spencer Ely, D.C
• Jacey Elzey, RBT
• Anahita A. Emamian, MD
• Erin Felicia Emanuel, PMHNP-BC
• Kristi Lee Emanuel, CMT
• Charles W. Emarine Jr., MD
• Emberline Therapy LLC

• Psychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.