Tal David, MD, Inc

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

A69504 Issued in CA

Legal business name

TAL DAVID, MD, INC

Practice address

5471 Kearny Villa Rd.
Suite 200
San Diego, CA 92123-1143

Phone

(858) 571-9500

Fax

(858) 715-4946

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Tal S. David, MDNPI 1629092473

Title

President

Phone

(858) 571-9500

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Tal S. David, Inc. Other name

Practitioners 1

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

• Tal David, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • San Diego, CA
  • NPI 1629092473
  NPD (past) Authorized official

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1851437792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5471 KEARNY VILLA RD.",
            "address_2": "SUITE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231143",
            "telephone_number": "858-571-9500",
            "fax_number": "858-715-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5471 KEARNY VILLA RD.",
            "address_2": "SUITE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231143",
            "telephone_number": "858-571-9500",
            "fax_number": "858-715-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAL DAVID, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "TAL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-571-9500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A69504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER ID",
            "identifier": "WA69504C",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NO.",
            "identifier": "W17895",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W17895",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tal S. David, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Asia Marie Fredrickson Takeuchi, M.D.
• Keita Takeuchi
• Srinu Takkallapalli, M.D.
• Dimitra A Takos, PSY.D.
• Afua Konadu Takyi, MD, MBS, MPH, MSCR
• Shanni Tal, PSYD
• Darrion Khalil Talalele
• Melissa Jazmin Talamante
• Gabriella Talamantes
• Skyler Rey Talamantes, D.C.

• Sports Medicine (Orthopaedic Surgery) Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; 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.