ON CALL SPECIALISTS MEDICAL GROUP OF SAN DIEGO INC. NPI 1962175836

NPI Information

  • NPI: 1962175836
  • Provider Name: ON CALL SPECIALISTS MEDICAL GROUP OF SAN DIEGO, INC.
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 4077 FIFTH AVE
    SAN DIEGO, CA
    ZIP 92103
  • Phone: (619) 294-8111

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NPI Details

ON CALL SPECIALISTS MEDICAL GROUP OF SAN DIEGO, 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. ON CALL SPECIALISTS MEDICAL GROUP OF SAN DIEGO, INC. NPI is 1962175836. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4077 FIFTH AVE
SAN DIEGO, CA
ZIP 92103-105
Phone: (619) 294-8111

The provider's authorized official is Michael Couris .
The authorized official title is President and has the following contact phone number (619) 359-6600.

The enumeration date for this NPI number is 7/27/2021 and was last updated on 7/20/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryNo
2213E00000XPodiatristNo
3207X00000XOrthopaedic SurgeryNo
4174400000XSpecialistYes

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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