Active NPI
Therapeutics Clinical Research
- Dermatology Physician
- San Diego, CA
National Provider Identifier
1982705299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- THERAPEUTICS CLINICAL RESEARCH
- Practice address
- 9025 Balboa Ave
Suite 105
San Diego, CA 92123-1520 - Phone
- (858) 571-6800
- Fax
- (858) 571-6801
- NPI assigned
- Sep 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel J. Piacquadio, M.D.
- Title
- Ceo
- Phone
- (858) 571-6800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
9025 Balboa Ave
Suite 105
San Diego, CA 92123-1520
Mailing address
9025 Balboa Ave
Suite 105
San Diego, CA 92123-1520
Phone (858) 571-6800
Other names 1
- Therapeutics Inc.
National Provider Directory
National Provider DirectoryLocations
4180 La Jolla Village Dr
Ste 255
La Jolla, CA 92037
Phone (858) 642-9100
4180 La Jolla Village Dr
La Jolla, CA 92037
Phone (310) 872-0808
9025 Balboa Ave
Ste 105
San Diego, CA 92123
Phone (858) 571-6800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1381104000000",
"number": "1982705299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9025 BALBOA AVE",
"address_2": "SUITE 105",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231520",
"telephone_number": "858-571-6800",
"fax_number": "858-571-6801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9025 BALBOA AVE",
"address_2": "SUITE 105",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231520",
"telephone_number": "858-571-6800",
"fax_number": "858-571-6801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPEUTICS CLINICAL RESEARCH",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2013-10-07",
"status": "A",
"authorized_official_last_name": "PIACQUADIO",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "858-571-6800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Therapeutics Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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- Therapist Specialist
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- Therapy Specialists
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.