Individual provider Active NPI

David Plourd, M.D.

  • Obstetrics & Gynecology Physician
  • San Diego, CA
National Provider Identifier
1811968449
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G50472 Issued in CA
Practice address
10696 Mira Lago Ter
San Diego, CA 92131-2382
Phone
(858) 566-6771
Fax
(858) 566-6771
NPI assigned
Jan 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G50472 CA Primary

Addresses

Primary practice location

10696 Mira Lago Ter
San Diego, CA 92131-2382

Mailing address

10696 Mira Lago Ter
San Diego, CA 92131-2382
Phone (858) 566-6771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811968449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10696 MIRA LAGO TER",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312382",
            "telephone_number": "858-566-6771",
            "fax_number": "858-566-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10696 MIRA LAGO TER",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312382",
            "telephone_number": "858-566-6771",
            "fax_number": "858-566-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOURD",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G50472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.