Healthcare Provider Details

I. General information

NPI: 1417164518
Provider Name (Legal Business Name): RAMIZ NAIM ELIAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 10/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7695 CARDINAL CT SUITE 370-375
SAN DIEGO CA
92123-3357
US

IV. Provider business mailing address

5600 SHASTA DAISY TRL
SAN DIEGO CA
92130-6972
US

V. Phone/Fax

Practice location:
  • Phone: 858-384-6857
  • Fax: 858-277-1475
Mailing address:
  • Phone: 858-342-2226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberA99956
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberA99956
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA99956
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberA99956
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA99956
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: