James Alfonso Abeyta, IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

3402 Tarawa Rd
San Diego, CA 92155-5003

Phone

(619) 437-5539

NPI assigned

Jan 27, 2009

Last updated

Jan 27, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233014400000",
    "number": "1942448048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3402 TARAWA RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921555003",
            "telephone_number": "619-437-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 TARAWA RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921555003",
            "telephone_number": "619-437-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABEYTA",
        "first_name": "JAMES",
        "middle_name": "ALFONSO",
        "credential": "IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alana M Abernethy, HHP
• Kerianne Abernethy, LVN
• Julianne Mae Llado Abesamis, RN
• Wilfredo R. Abesamis, M.D.
• Katrina Cassandra Abeto
• Abg Med Group, Inc.
• Abhay Gupta, M.D., Inc. (Gupta Plastic Surgery)
• Joanna Abhay
• Abi P&O Inc
• Cristabel Abi-Hanna, MS, CRC, APCC

• Independent Duty Corpsman in San Diego, CA
• Providers in San Diego, CA by specialty
• Independent Duty Corpsman in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.