Active NPI
Eric Steven Korsh, M.D.
- Orthopaedic Surgery of the Spine Physician
- San Diego, CA
National Provider Identifier
1992760169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- G84012
- Practice address
- 3760 Convoy St
Suite 114
San Diego, CA 92111-3742 - Phone
- (858) 715-8444
- Fax
- (858) 715-8324
- NPI assigned
- Apr 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | G84012 | CA | Primary |
Addresses
Primary practice location
3760 Convoy St
Suite 114
San Diego, CA 92111-3742
Mailing address
3760 Convoy St
Suite 114
San Diego, CA 92111-3742
Phone (858) 715-8444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FX680X | Other | CA | MEDICARE PTAN FOR INDIO OFFICE |
| FX680Z | Other | CA | MEDICARE PTAN FX680Z FOR SAN DIEGO OFFICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G84012 | CA | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Absolute Diagnostics, LLC | Past | Accepting new patients | |
| Delta Diagnostics Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- San Diego, CA
- NPI 1104109453
-
- Clinical Medical Laboratory
- San Diego, CA
- NPI 1699151746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602806400000",
"number": "1992760169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3760 CONVOY ST",
"address_2": "SUITE 114",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921113742",
"telephone_number": "858-715-8444",
"fax_number": "858-715-8324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3760 CONVOY ST",
"address_2": "SUITE 114",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921113742",
"telephone_number": "858-715-8444",
"fax_number": "858-715-8324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORSH",
"first_name": "ERIC",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2020-10-16",
"certification_date": "2020-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "CA",
"license": "G84012",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN FOR INDIO OFFICE",
"identifier": "FX680X",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN FX680Z FOR SAN DIEGO OFFICE",
"identifier": "FX680Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}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 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.