| Niemeier Md Apc | |
|
7850 Vista Hill Ave San Diego CA 92123-2717 | |
| (619) 294-4119 | |
| (619) 295-5044 |
| Full Name | Niemeier Md Apc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7850 Vista Hill Ave, San Diego, California |
| Authorized Official Name and Position | Cara Niemeier (DOCTOR) |
| Authorized Official Contact | 6192944119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Niemeier Md Apc C/o Cara Niemeier 122 15th St. #2683 Del Mar CA 92014-8087 Ph: (619) 294-4119 | Niemeier Md Apc 7850 Vista Hill Ave San Diego CA 92123-2717 Ph: (619) 294-4119 |
| NPI Number | 1275177271 |
|---|---|
| Provider Enumeration Date | 11/01/2019 |
| Last Update Date | 11/01/2019 |
| Medicare PECOS PAC ID | 4981030293 |
|---|---|
| Medicare Enrollment ID | O20200205001463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275177271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Brandon Michael Niemeier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255622338 PECOS PAC ID: 8921253584 Enrollment ID: I20190617000289 |
| Provider Name | Cara Sharee Niemeier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225396419 PECOS PAC ID: 0042453813 Enrollment ID: I20190620002452 |
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