JAY MICHAEL CHANNICK M.D. NPI 1083912869

NPI Information

  • NPI: 1083912869
  • Provider Name: JAY MICHAEL CHANNICK, M.D.
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Individual
  • Address: 821 B AVE
    CORONADO, CA
    ZIP 92118
  • Phone: (619) 435-4794

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NPI Details

Jay Michael Channick, M.D. is a nephrology internal medicine in Coronado, CA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Jay Michael Channick, M.D. NPI is 1083912869. 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:

821 B AVE
CORONADO, CA
ZIP 92118-615
Phone: (619) 435-4794

The enumeration date for this NPI number is 3/3/2011 and was last updated on 3/3/2011.

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
1207RN0300XInternal MedicineNephrologyG16554CALIFORNIAYes

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: 11/21/2025

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