Organization Active NPI

Therapeutics Clinical Research

  • Dermatology Physician
  • San Diego, CA
National Provider Identifier
1982705299
Registry record updated Oct 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
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

Updated by the provider on Oct 7, 2013

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)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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. Former legal business name

National Provider Directory

National Provider Directory

Locations

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"
        }
    ]
}

Other providers in San Diego, CA

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.

Verify at the official NPI Registry.