Daniel Strub, MD, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A25554 Issued in CA

Legal business name

DANIEL STRUB, MD, INC.

Practice address

12620 Monte Vista Rd
Suite E
Poway, CA 92064-2531

Phone

(858) 451-2080

Fax

(858) 451-2372

NPI assigned

Aug 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Strub, M.D,

Title

Owner

Phone

(858) 451-2080

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1972817633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12620 MONTE VISTA RD",
            "address_2": "SUITE E",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642531",
            "telephone_number": "858-451-2080",
            "fax_number": "858-451-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12620 MONTE VISTA RD",
            "address_2": "SUITE E",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642531",
            "telephone_number": "858-451-2080",
            "fax_number": "858-451-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL STRUB, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "STRUB",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-451-2080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A25554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Poway, CA
• Providers in Poway, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.