NPIMap

Organization Active NPI

Robert E Kearney MD Inc

  • Specialist
  • San Diego, CA
National Provider Identifier
1871605733
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G87026 Issued in CA
Legal business name
ROBERT E KEARNEY MD INC
Practice address
4520 Executive Dr
Suite 150
San Diego, CA 92121-3018
Phone
(858) 677-9352
Fax
(858) 677-9356
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

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

Authorized official

Name
Dr. Robert E Kearney, M.D.
Title
Owner
Phone
(858) 677-9352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G87026 CA Primary

Addresses

Primary practice location

4520 Executive Dr
Suite 150
San Diego, CA 92121-3018

Mailing address

4520 Executive Drive,
Suite 150
San Diego, CA 92191
Phone (858) 677-9352

National Provider Directory

National Provider Directory

Locations

4520 Executive Dr
Ste 150
San Diego, CA 92121
Phone (858) 677-9352

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309478400000",
    "number": "1871605733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 EXECUTIVE DRIVE,",
            "address_2": "SUITE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92191",
            "telephone_number": "858-677-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 EXECUTIVE DR",
            "address_2": "SUITE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213018",
            "telephone_number": "858-677-9352",
            "fax_number": "858-677-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E KEARNEY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-07-01",
        "status": "A",
        "authorized_official_last_name": "KEARNEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-677-9352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G87026",
            "primary": true
        }
    ],
    "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 Jul 1, 2011; 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.