JOHN H DETWILER M.D. NPI 1154324036

NPI Information

NPI: 1154324036
Provider Name: JOHN H DETWILER, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
1955 W CITRACADO PKWY
SUITE 300
ESCONDIDO, CA
ZIP 92029
Phone: (760) 743-0546
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John H Detwiler, M.D. is a cardiovascular disease internal medicine in Escondido, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. John H Detwiler, M.D. NPI is 1154324036. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1955 W CITRACADO PKWY
SUITE 300
ESCONDIDO, CA
ZIP 92029-113
Phone: (760) 743-0546
Fax: (760) 743-8837

The enumeration date for this NPI number is 5/24/2005 and was last updated on 10/8/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RI0011X	Internal Medicine	Interventional Cardiology	G23336	CALIFORNIA	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	G23336	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A41920	MEDICARE UPIN	CALIFORNIA
2	WG23336A	MEDICARE PIN	CALIFORNIA
3	060020994	OTHER		RR MEDICARE
4	WG23336C	MEDICARE PIN	CALIFORNIA
5	1154324036	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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