Healthcare Provider Details

I. General information

NPI: 1295262392
Provider Name (Legal Business Name): SAINT PETER MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2017
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

677-93 S. MAGNOLIA AVENUE
EL CAJON CA
92020-5224
US

IV. Provider business mailing address

677-93 S. MAGNOLIA AVENUE
EL CAJON CA
92020-5224
US

V. Phone/Fax

Practice location:
  • Phone: 619-332-8484
  • Fax: 619-332-8488
Mailing address:
  • Phone: 619-332-8484
  • Fax: 619-332-8488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: LABEED SAMI NOURI
Title or Position: PRESIDENT
Credential: MD
Phone: 619-332-8484