DIGESTIVE DISEASE ASSOCIATES INC NPI 1073699971

NPI Information

  • NPI: 1073699971
  • Provider Name: DIGESTIVE DISEASE ASSOCIATES, INC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 05D1018160
  • Address: 292 EUCLID AVE
    STE 115
    SAN DIEGO, CA
    ZIP 92114
  • Phone: (619) 266-3332

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NPI Details

DIGESTIVE DISEASE ASSOCIATES, INC is a specialist in San Diego, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DIGESTIVE DISEASE ASSOCIATES, INC NPI is 1073699971. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

292 EUCLID AVE
STE 115
SAN DIEGO, CA
ZIP 92114
Phone: (619) 266-3332
Fax: (619) 266-6000

The provider's authorized official is Taddesee Teferi Desta .
The authorized official title is Owner and has the following contact phone number (619) 266-3332.

The CLIA number assigned to this NPI record is 05D1018160 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 5/5/2011.

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
1174400000XSpecialistA49164CALIFORNIAYes

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
1F27762MEDICARE UPINCALIFORNIA
200A491640MEDICAIDCALIFORNIA
3W16810MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAM/CARE GP ID

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: 3/30/2025

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