SAN DIEGO HOSPITAL BASED PHYSICIANS MEDICAL ASSOCIATION
NPI 1417907882
Emergency Medicine in San Diego, CA

Active since May 10, 2006
4077 FIFTH AVE, SAN DIEGO, CA 92103(619) 294-8111 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About San Diego Hospital Based Physicians Medical Association NPPES

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

SAN DIEGO HOSPITAL BASED PHYSICIANS MEDICAL ASSOCIATION (NPI 1417907882) is a healthcare organization registered as an emergency medicine in San Diego, California and active in the NPI registry since May 2006. The organization lists Michael Sullivan, President, as its authorized official.

NPPES Registry Identity

NPI1417907882
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameSAN DIEGO HOSPITAL BASED PHYSICIANS MEDICAL ASSOCIATION
Location Address4077 FIFTH AVESan Diego, CA 92103-2105
Mailing AddressPo Box 87729San Diego, CA 92138-7729 · (619) 285-5996
Organization SubpartNo
Authorized OfficialMichael SullivanPresident · (619) 294-8111
Enumeration DateMay 10, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1417907882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
4077 FIFTH AVE, San Diego, CA 92103

Other Identifiers 1

MedicaidGR0076320CA

Group Practice 1

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

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.

Hospitalist
4077 FIFTH AVE
SAN DIEGO, CA 92103
Clinical Nurse Specialist (Critical Care Medicine)
4077 FIFTH AVE
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE
SAN DIEGO, CA 92103
Registered Nurse (Neuroscience)
4077 FIFTH AVE
SAN DIEGO, CA 92103
Internal Medicine
4077 FIFTH AVE, MER 35
SAN DIEGO, CA 92103
Emergency Medicine
4077 FIFTH AVE
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE
SAN DIEGO, CA 92103
Nurse Practitioner (Acute Care)
4077 FIFTH AVE, TRAUMA SERVICES, MER62
SAN DIEGO, CA 92103

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 San Diego Hospital Based Physicians Medical Association's NPI number?

The NPI number for San Diego Hospital Based Physicians Medical Association is 1417907882. It was assigned to this organization in the NPPES registry on May 10, 2006.

Where is San Diego Hospital Based Physicians Medical Association located?

San Diego Hospital Based Physicians Medical Association is located at 4077 Fifth Ave, San Diego, CA 92103. The listed phone number is (619) 294-8111.

What is San Diego Hospital Based Physicians Medical Association's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for San Diego Hospital Based Physicians Medical Association was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.