Provider Type Icon

NED H. CHAMBERS M.D. INC. NPI 1790886216


NPI Information

NPI: 1790886216
Provider Name: NED H. CHAMBERS, M.D. INC.

Doing Business As: SHELTER ISLAND MEDICAL GROUP

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 05D0723119

Address:
1370 ROSECRANS ST
STE A
SAN DIEGO, CA
ZIP 92106
Phone: (619) 223-2668
Get Directions

NED H. CHAMBERS, M.D. INC. is a multi-specialty clinic center in San Diego, CA. NED H. CHAMBERS, M.D. INC. NPI is 1790886216. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Shelter Island Medical Group.

The provider's business location address is:

1370 ROSECRANS ST
STE A
SAN DIEGO, CA
ZIP 92106-638
Phone: (619) 223-2668
Fax: (619) 223-2698

The provider's authorized official is Melanie A Mcintyre .
The authorized official title is Office Manager and has the following contact phone number (619) 223-2668.

The CLIA number assigned to this NPI record is 05D0723119 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 7/18/2023.


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
1207Q00000XFamily MedicineNo
2261QM1300XClinic/CenterMulti-SpecialtyA32874CALIFORNIAYes

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
11699015529OTHERCALIFORNIANPI

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.