Iyabo Daramola MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A63633 Issued in CA

Legal business name

IYABO DARAMOLA MD INC

Practice address

1685 E Main St
Suite 102
El Cajon, CA 92021-5225

Phone

(619) 479-6767

Fax

(619) 434-8840

NPI assigned

Nov 19, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Iyabo O Daramola, M.D.

Title

President

Phone

(619) 479-6767

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CARING HEARTS MEDICAL CLINIC EAST Doing business as

Locations

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1831596865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 675833",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920675833",
            "telephone_number": "619-479-6767",
            "fax_number": "619-434-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 E MAIN ST",
            "address_2": "SUITE 102",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920215225",
            "telephone_number": "619-479-6767",
            "fax_number": "619-434-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IYABO DARAMOLA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "DARAMOLA",
        "authorized_official_first_name": "IYABO",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-479-6767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A63633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0098920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARING HEARTS MEDICAL CLINIC EAST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adrian Isaac
• Paulina Noemi Isidro, MA
• Fatma Saad Ismail
• Loni Suzanne Ison, MFT
• Reese Istre
• Sadia Iyyaz
• Janice Izon
• J. R. Gassman, D.D.S., Inc.
• Echo Jablonski
• Rasha Jabraeil

• Internal Medicine Physician in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Internal Medicine Physician in California

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

Verify at the official NPI Registry.