NPIMap

Organization Active NPI

La Mesa Surgical Services

  • Specialist
  • La Mesa, CA
National Provider Identifier
1962734186
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A86720 Issued in CA
Legal business name
LA MESA SURGICAL SERVICES
Practice address
8554 La Mesa Blvd
La Mesa, CA 91942-9558
Phone
(619) 464-4469
Fax
(619) 330-2245
NPI assigned
Feb 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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

Authorized official

Name
Dr. Phillip Dickinson, M.D.
Title
President
Phone
(619) 464-4469

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A86720 CA Primary

Addresses

Primary practice location

8554 La Mesa Blvd
La Mesa, CA 91942-9558

Mailing address

8554 La Mesa Blvd
La Mesa, CA 91942-9558
Phone (619) 464-4469

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1962734186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8554 LA MESA BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919429558",
            "telephone_number": "619-464-4469",
            "fax_number": "619-330-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8554 LA MESA BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919429558",
            "telephone_number": "619-464-4469",
            "fax_number": "619-330-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA MESA SURGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-12",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "DICKINSON",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-464-4469",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A86720",
            "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 Nov 30, 2012; 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.