Isaac Bakst MD a Professional Corp

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

A40598 Issued in CA

Legal business name

ISAAC BAKST MD A PROFESSIONAL CORP

Practice address

8929 University Center LN
Suite 207
San Diego, CA 92122-1006

Phone

(858) 552-8828

NPI assigned

Aug 11, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Isaac Bakst, MBBCH

Title

Owner

Phone

(858) 552-8828

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1891000113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8929 UNIVERSITY CENTER LN",
            "address_2": "SUITE 207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221006",
            "telephone_number": "858-552-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8929 UNIVERSITY CENTER LN",
            "address_2": "SUITE 207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221006",
            "telephone_number": "858-552-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISAAC BAKST MD A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "BAKST",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-552-8828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MBBCH"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A40598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta Lynne Irwin, CMT, HHP
• Scott A Irwin, MD
• Scott William Irwin, B.A., CAS
• Irx Pharmacy South Inc. (Carmel Valley Pharmacy)
• Irx Pharmacy South Inc. (Carmel Valley Pharmacy)
• Christopher A Isaac, M.A., LMFT
• Julian Tyler Isaac
• Ria Isaac
• Rodney Isaac
• Sydney Isaac

• Medical Specialty Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.