| Km Dickson Medical Corporation | |
|
555 Saturn Blvd Ste B292 San Diego CA 92154-4766 | |
| (619) 591-9999 | |
| Not Available |
| Full Name | Km Dickson Medical Corporation |
|---|---|
| Speciality | General Practice |
| Location | 555 Saturn Blvd Ste B292, San Diego, California |
| Authorized Official Name and Position | Kimberly S Dickson (PROVIDER) |
| Authorized Official Contact | 6199974502 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Km Dickson Medical Corporation 1008 Ocean Ln Imperial Beach CA 91932-2556 Ph: (619) 591-9999 | Km Dickson Medical Corporation 555 Saturn Blvd Ste B292 San Diego CA 92154-4766 Ph: (619) 591-9999 |
| NPI Number | 1265642250 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 01/19/2017 |
| Medicare PECOS PAC ID | 6800997131 |
|---|---|
| Medicare Enrollment ID | O20170419000106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265642250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Kimberly S Sheker-dickson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194755363 PECOS PAC ID: 0749185189 Enrollment ID: I20031126000758 |
| Provider Name | Matthew D Dickson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457388720 PECOS PAC ID: 9133019565 Enrollment ID: I20040318000625 |
Revivify Restorative Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16445 Bernardo Center Dr, San Diego, CA 92128 Phone: 858-429-0099 Fax: 858-676-1172 | |
Nucleus Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4570 Executive Dr Ste 100, San Diego, CA 92121 Phone: 844-838-3322 | |
Moden Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8901 Activity Rd Ste 205, San Diego, CA 92126 Phone: 888-822-1184 Fax: 888-877-3676 | |
Aldiwani Medical Group Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11409 Windy Summit Pl, San Diego, CA 92127 Phone: 832-371-3279 Fax: 619-939-4556 | |
Presidio Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4440 Lamont St, San Diego, CA 92109 Phone: 858-270-7633 Fax: 858-270-7692 | |
Michael L Butera Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6699 Alvarado Rd Ste 2309, San Diego, CA 92120 Phone: 619-286-8803 Fax: 619-286-2344 | |
San Diego Digestive Disease Consultants, Inc. A Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8008 Frost St, Ste 200, San Diego, CA 92123 Phone: 858-292-7527 Fax: 858-292-7804 |