CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF OPTH NPI 1013074590
Ophthalmology in San Diego, CA

About CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF OPTH

Children's Specialists Of San Diego - Div Of Opth is a provider established in San Diego, California operating as a Ophthalmology. The NPI number of Children's Specialists Of San Diego - Div Of Opth is 1013074590 and was assigned on January 2007. The practitioner's primary taxonomy code is 207W00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. Children's Specialists Of San Diego - Div Of Opth operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's former legal business name is Children's Associated Medical Group. The authorized official of this NPI record is Herbert C. Kimmons Jr. M.d. (President)

NPI
1013074590
Provider NameCHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF OPTH
Location Address3030 CHILDRENS WAY SUITE 109 SAN DIEGO, CA 92123
Location Phone(858) 309-7701
Mailing Address3860 CALLE FORTUNADA SUITE 210 SAN DIEGO, CA 92123
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameCHILDREN'S ASSOCIATED MEDICAL GROUP
Other Name TypeFormer Legal Business Name (4)
Enumeration Date01-03-2007
Last Update Date04-22-2008


Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207W00000X
ClassificationOphthalmology
TypeAllopathic & Osteopathic Physicians
Taxonomy DescriptionAn ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF OPTH
3030 CHILDRENS WAY
SUITE 109
SAN DIEGO, CA
ZIP 92123
Phone: (858) 309-7701

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Mailing Address

CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF OPTH
3860 CALLE FORTUNADA
SUITE 210
SAN DIEGO, CA
ZIP 92123
Phone: (858) 309-6303
Fax: (858) 309-6301


Location Map

Authorized Official

The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official Name HERBERT C. KIMMONS JR. M.D.
Authorized Official TitlePRESIDENT
Authorized Official Phone(858) 966-8567

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
GR0068865MEDICAID (05)CA
W13774MEDICARE ID-TYPE UNSPECIFIED (04)CAMEDICARE GROUP PROV#

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013074590
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023078518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 7 + 8 + 5 + 1 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1013074590 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1144229600DR. CHARLES DOUGLAS WALLACE M.D.
Individual
Orthopaedic Surgery3030 CHILDRENS WAY STE 410
SAN DIEGO, CA 92123
(858) 966-6789
1205807203DR. INGRID L MARTINEZ-ANDREE MD
Individual
Pediatrics3030 CHILDRENS WAY #112
SAN DIEGO, CA 92123
(858) 495-0500
1811968837DR. GEORGE H MADANY MD
Individual
Pediatrics3030 CHILDRENS WAY #102
SAN DIEGO, CA 92123
(858) 279-0100
1720059744DR. STEPHANIE J POWELL MD
Individual
Pediatrics3030 CHILDRENS WAY SUITE 112
SAN DIEGO, CA 92123
(858) 495-0500
1780655621DR. JOHN C HANSEN MD
Individual
Pediatrics3030 CHILDRENS WAY #112
SAN DIEGO, CA 92123
(858) 495-0500
1962459982 MARCELLA R. BOTHWELL MD
Individual
Otolaryngology (Pediatric Otolaryngology)3030 CHILDRENS WAY SUITE 402
SAN DIEGO, CA 92123
(858) 309-7701
1538197942DR. SAUL LEVINE M.D.
Individual
Psychiatry & Neurology (Psychiatry)3030 CHILDRENS WAY SUITE 111
SAN DIEGO, CA 92123
(858) 966-4936
1659305753DR. WEN JIANG MD
Individual
Otolaryngology3030 CHILDRENS WAY STE 402
SAN DIEGO, CA 92123
(858) 309-7701
1669488235DR. ROBERT LAWRENCE MCGLENN PH.D.
Individual
Psychologist (Clinical)3030 CHILDRENS WAY SUITE 101
SAN DIEGO, CA 92123
(858) 966-6751
1609977859 TIMOTHY GILES CANTY SR. MD
Individual
Surgery (Pediatric Surgery)3030 CHILDRENS WAY STE 401
SAN DIEGO, CA 92123
(858) 966-6717
1790877173 ERIC J DEVANEY MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)3030 CHILDRENS WAY SUITE #202
SAN DIEGO, CA 92123
(858) 966-8030
1104997964 MAYA ELIZABETH PRING M.D.
Individual
Orthopaedic Surgery3030 CHILDRENS WAY SUITE 410
SAN DIEGO, CA 92123
(858) 966-6789
1205907060 HENRY GEORGE CHAMBERS M.D.
Individual
Orthopaedic Surgery3030 CHILDRENS WAY SUITE 410
SAN DIEGO, CA 92123
(858) 966-6789
1114098977 SCOTT JAMEEL MUBARAK M.D.
Individual
Orthopaedic Surgery3030 CHILDRENS WAY SUITE 410
SAN DIEGO, CA 92123
(858) 966-6789
1023189883 PETER OWEN NEWTON M.D.
Individual
Orthopaedic Surgery3030 CHILDRENS WAY SUITE 410
SAN DIEGO, CA 92123
(858) 966-6789
1932270790 DENNIS RAY WENGER M.D.
Individual
Orthopaedic Surgery3030 CHILDRENS WAY SUITE 410
SAN DIEGO, CA 92123
(858) 966-6789
1841361607 DEBRA MEI DON M.D.
Individual
Otolaryngology3030 CHILDRENS WAY SUITE 402
SAN DIEGO, CA 92123
(858) 309-7701
1871664631 PREETI BANSAL M.D.
Individual
Ophthalmology3030 CHILDRENS WAY SUITE 109
SAN DIEGO, CA 92123
(858) 309-7702
1023189784 HERBERT CLIFFORD KIMMONS JR. M.D.
Individual
Pediatrics3030 CHILDRENS WAY SUITE 213
SAN DIEGO, CA 92123
(858) 966-8567
1154492916 DANIELA STANGENHAUS DE CARVALHO M.D.
Individual
Otolaryngology (Pediatric Otolaryngology)3030 CHILDRENS WAY SUITE 402
SAN DIEGO, CA 92123
(858) 309-7701

Frequently Asked Questions

What is CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF OPTH NPI number?

The NPI number assigned to CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF OPTH is 1013074590, registered as an "organization" on January 03, 2007

Where is CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF OPTH located?

The provider is located at 3030 Childrens Way Suite 109 San Diego, Ca 92123 and the phone number is (858) 309-7701

What kind of medical provider is CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF OPTH?

This medical organization specializes in Ophthalmology

What insurance does CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF OPTH accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

How do I update my NPI information?

The NPI record of CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF OPTH was last updated on January 03, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]