Colleen A. Geniblazo
MD | Pediatrics | Female
Colleen A. Geniblazo, MD is a San Diego, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Colleen A. Geniblazo is
4647 Zion Ave, San Diego, California - 92120-2507. She can be contacted on phone at
619-528-5000.
Colleen A. Geniblazo is a sole proprietor of her business.
NPI number (Unique professional ID) for Colleen A. Geniblazo is
1952459885 which was assigned by NPPES on 08 Jan, 2007 and it was last updated on 01 Dec, 2021.
Colleen A. Geniblazo license number is
G79303 for Pediatrics (208000000X) in California.
Colleen A. Geniblazo is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Colleen A. Geniblazo basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Colleen A. Geniblazo |
|---|
| Credential : | MD |
|---|
| Gender : | Female |
|---|
Business Address:
Colleen A. Geniblazo address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4647 Zion Ave
San Diego, CA, 92120-2507
United States |
|---|
| Phone Number : | 619-528-5000 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1952459885 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 08 Jan, 2007 |
|---|
| Last Updated On : | 01 Dec, 2021 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Colleen A. Geniblazo are as mentioned. Primary taxonomy code for Colleen A. Geniblazo, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | G79303 | CA |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
SOAP
(SOAP URL) | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Carequality | | HIE
Health Information Exchange (HIE)
| OTHER
Other
C-CDA | 4647 ZION AVE,
SAN DIEGO, CA, 92120-2507
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4647 Zion Ave
San Diego, CA, 92120-2507
United States |
|---|
| Phone Number : | 619-528-5000 |
|---|
Business Location:
Patients can refer following map for directions to
Colleen A. Geniblazo practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.