Dr. Jay Douglas Fisher
MD | Pediatric Emergency Medicine | Male
Dr. Jay Douglas Fisher, MD is a San Diego, California based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Dr. Jay Douglas Fisher is
3020 Childrens Way, San Diego, California - 92123-4223. He can be contacted on phone at
858-966-8800.
Dr. Jay Douglas Fisher is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Jay Douglas Fisher is
1629118518 which was assigned by NPPES on 08 Feb, 2007 and it was last updated on 13 Sep, 2022.
Dr. Jay Douglas Fisher license number is
G88903 for Pediatrics, Pediatric Emergency Medicine (2080P0204X) in California.
Dr. Jay Douglas Fisher has special qualifications to manage emergencies in infants and children.
Complete Profile:
Dr. Jay Douglas Fisher basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Pediatric Emergency Medicine |
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| Provider Name : | Dr. Jay Douglas Fisher |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Jay Douglas Fisher 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 : | 3020 Childrens Way
San Diego, CA, 92123-4223
United States |
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| Phone Number : | 858-966-8800 |
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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 : | 1629118518 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 08 Feb, 2007 |
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| Last Updated On : | 13 Sep, 2022 |
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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 Dr. Jay Douglas Fisher are as mentioned. Primary taxonomy code for Dr. Jay Douglas Fisher, MD is
2080P0204X (Pediatrics, Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207P00000X | Emergency Medicine | No | 6624 | NV |
| 2080P0204X | Pediatrics, Pediatric Emergency Medicine | Yes | G88903 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jay Douglas Fisher such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 2019425 | MEDICAID | NV | |
| 33383 | MEDICARE ID-Type Unspecified | | |
| E55748 | MEDICARE UPIN | | |
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 : | 3020 Childrens Way # Mc5003
San Diego, CA, 92123-4223
United States |
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| Phone Number : | 858-309-6300 |
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Business Location:
Patients can refer following map for directions to
Dr. Jay Douglas Fisher practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.