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DAMON MARCUS DERTINA MD NPI 1588877963


NPI Information

NPI: 1588877963
Provider Name: DAMON MARCUS DERTINA, MD
Classification: Anesthesiology - 207L00000X
Entity Type: Individual
Address:
34800 BOB WILSON DR STE 409
DEPT OF ANESTHESIOLOGY, NAVAL MEDICAL CENTER SAN DIEGO
SAN DIEGO, CA
ZIP 92134
Phone: (619) 453-6922
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Damon Marcus Dertina, MD is an anesthesiology in San Diego, CA. The provider is an anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. Damon Marcus Dertina, MD NPI is 1588877963. 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:

34800 BOB WILSON DR STE 409
DEPT OF ANESTHESIOLOGY, NAVAL MEDICAL CENTER SAN DIEGO
SAN DIEGO, CA
ZIP 92134-409
Phone: (619) 453-6922

The enumeration date for this NPI number is 5/8/2007 and was last updated on 6/7/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207L00000XAnesthesiologyA98936CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11588877963MEDICAIDCALIFORNIA
200A989360OTHERCALIFORNIABLUE SHIELD OF CA

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: 4/28/2024

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