So-Cal Providers Medical Group, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SO-CAL PROVIDERS MEDICAL GROUP, INC.

Practice address

9850 Genesee Ave
Ste 560
La Jolla, CA 92037-1224

Phone

(858) 455-6330

Fax

(858) 455-5408

NPI assigned

Aug 14, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Donald Lyle Buehler, M.D.NPI 1588661839

Title

President

Phone

(858) 455-6330

Specialties & licenses 1

Addresses

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.

• Donald Lyle Buehler, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • La Jolla, CA
  • NPI 1588661839
  Authorized official Same address or phone

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1871785899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE",
            "address_2": "STE 560",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371224",
            "telephone_number": "858-455-6330",
            "fax_number": "858-455-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE",
            "address_2": "STE 560",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371224",
            "telephone_number": "858-455-6330",
            "fax_number": "858-455-5408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SO-CAL PROVIDERS MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BUEHLER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "LYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-455-6330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Anne Snowden, PA-C
• Brian K Snyder, MD
• Cynthia Snyder, M.D.
• Janet Lee Snyder, R.D.
• Shannon Snyder, FNP
• David F. Sobel, M.D.
• Socal Child Psychology
• Socal Foot Care PC (Socal Foot Care)
• Socal Homecare (Visiting Angels of La Jolla)
• Maida V. Soghikian, M.D.

• Specialist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.