Organization Active NPI

Diabetes and Endocrine Associates

  • Endocrinology, Diabetes & Metabolism Physician
  • La Mesa, CA
National Provider Identifier
1881687960
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
3508 Issued in CA
Legal business name
DIABETES AND ENDOCRINE ASSOCIATES
Practice address
8851 Center Dr
Suite 404
La Mesa, CA 91942-3017
Phone
(619) 287-9334
Fax
(619) 287-6398
NPI assigned
Aug 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Dr. Raymond I. Fink, M.D.
Title
President
Phone
(619) 287-9334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 3508 CA Primary

Addresses

Primary practice location

8851 Center Dr
Suite 404
La Mesa, CA 91942-3017

Mailing address

8851 Center Dr
Suite 404
La Mesa, CA 91942-3017
Phone (619) 287-9334

National Provider Directory

National Provider Directory

Locations

1594 S Imperial Ave
#A
El Centro, CA 92243
Phone (619) 287-9334

1745 S Imperial Ave
Ste 114
El Centro, CA 92243
Phone (760) 337-8803

1592 S Imperial Ave
El Centro, CA 92243
Phone (760) 339-9999

9850 Genesee Ave
Ste 415
La Jolla, CA 92037
Phone (858) 622-7200

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1881687960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR",
            "address_2": "SUITE 404",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423017",
            "telephone_number": "619-287-9334",
            "fax_number": "619-287-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR",
            "address_2": "SUITE 404",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423017",
            "telephone_number": "619-287-9334",
            "fax_number": "619-287-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES AND ENDOCRINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "FINK",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-287-9334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "3508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.