1932433141 NPI number — DAVID SINCAVAGE, MD APMC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932433141 NPI number — DAVID SINCAVAGE, MD APMC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DAVID SINCAVAGE, MD APMC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932433141
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/22/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
43 PORT ROYALE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CORONADO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92118-3288
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
619-850-4224
Provider Business Mailing Address Fax Number:
815-572-9656

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7920 FROST ST STE 304B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92123-2734
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-850-4224
Provider Business Practice Location Address Fax Number:
815-572-9656
Provider Enumeration Date:
09/22/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SINCAVAGE
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
LOUIS
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
619-850-4224

Provider Taxonomy Codes

  • Taxonomy code: 207N00000X , with the licence number:  G54537 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207Q00000X , with the licence number: G54537 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)