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MARIO EDUARDO EYZAGUIRRE M.D.
NPI 1205866258
Pediatrics - Pediatric Critical Care Medicine in San Diego, CA

Active since July 04, 2006
4077 5TH AVE, SAN DIEGO, CA 92103(619) 260-7046(619) 686-3843 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mario Eduardo Eyzaguirre M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIO EDUARDO EYZAGUIRRE M.D. (NPI 1205866258) is an individual pediatric critical care medicine provider in San Diego, California, licensed in California (A42572) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1205866258
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameMARIO EDUARDO EYZAGUIRRECredential: M.D.
Location Address4077 5TH AVESan Diego, CA 92103-2105
Mailing Address5626 Sandburg AveSan Diego, CA 92122-4132 · (619) 260-7046 · Fax (619) 686-3843
Phone(619) 260-7046
Fax(619) 686-3843
Sole ProprietorYes
Enumeration DateJuly 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1205866258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in CA · A42572
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
4077 5TH AVE, San Diego, CA 92103
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Other Identifiers 1

Medicare UPINE92777CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GERALDINE MARIE CROWLE PH.D.
Psychologist (Clinical)
4077 5TH AVE, BEHAVIORAL HEALTH OUTPATIENT - LEVEL D
SAN DIEGO, CA 92103
San Diego County (619) 260-7066
JOSEPH ARTHUR ANDERSON PHARMD
Pharmacist
4077 5TH AVE
SAN DIEGO, CA 92103
San Diego County (858) 832-2478
REJOYCE T STEFANIUK
Nurse Practitioner (Primary Care)
4077 5TH AVE
SAN DIEGO, CA 92103
San Diego County (773) 219-4453
JOSEPH SAM KAZANCHI MD
Hospitalist
4077 5TH AVE, MER 127
SAN DIEGO, CA 92103
San Diego County (619) 484-8573
RIMA SCHNEIDER DPT
Physical Therapist
4077 5TH AVE
SAN DIEGO, CA 92103
San Diego County (858) 832-2478
MAGGIE FRYE
Nurse Practitioner (Adult Health)
4077 5TH AVE
SAN DIEGO, CA 92103
San Diego County (196) 868-3800
KAREN VIRGINIA MORGAN M.D
Emergency Medicine
4077 5TH AVE
SAN DIEGO, CA 92103
San Diego County (619) 260-7000
MR. PAUL JAMES DEMEULES LCSW
Social Worker (Clinical)
4077 5TH AVE
SAN DIEGO, CA 92103
San Diego County (619) 260-7066

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mario Eyzaguirre's NPI number?

The NPI number for Mario Eyzaguirre is 1205866258. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Mario Eyzaguirre located?

Mario Eyzaguirre practices at 4077 5th Ave, San Diego, CA 92103. The listed phone number is (619) 260-7046.

What is Mario Eyzaguirre's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

When was this NPI record last updated?

The NPPES record for Mario Eyzaguirre was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.