John Terry Kanegaye
M.D. | Pediatric Emergency Medicine | Male
John Terry Kanegaye, M.D. is a San Diego, California based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of John Terry Kanegaye is
3020 Childrens Way, San Diego, California - 92123-4223. He can be contacted on phone at
858-966-8036.
John Terry Kanegaye is a sole proprietor of his business.
NPI number (Unique professional ID) for John Terry Kanegaye is
1689745432 which was assigned by NPPES on 13 Nov, 2006 and it was last updated on 07 Dec, 2011.
John Terry Kanegaye license number is
G67670 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in California.
John Terry Kanegaye has special qualifications to manage emergencies in infants and children.
Complete Profile:
John Terry Kanegaye 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 : | John Terry Kanegaye |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
John Terry Kanegaye 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 : | 858-966-8036 |
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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 : | 1689745432 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 13 Nov, 2006 |
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| Last Updated On : | 07 Dec, 2011 |
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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 John Terry Kanegaye are as mentioned. Primary taxonomy code for John Terry Kanegaye, M.D. is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | G67670 | CA |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | G67670 | CA |
Legacy Identifiers:
Other legacy medical identifiers of John Terry Kanegaye such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00G676700 | MEDICAID | CA | |
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 : | 3860 Calle Fortunada, Suite 210
San Diego, CA, 92123-4800
United States |
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| Phone Number : | 858-309-6303 |
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| Fax Number : | 858-309-6301 |
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Business Location:
Patients can refer following map for directions to
John Terry Kanegaye practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.