Healthcare Provider Details

I. General information

NPI: 1477504801
Provider Name (Legal Business Name): JOHN W ADAMSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8929 UNIVERSITY CENTER LN SUITE 201
SAN DIEGO CA
92122-1006
US

IV. Provider business mailing address

FILE 53726
LOS ANGELES CA
90074-0001
US

V. Phone/Fax

Practice location:
  • Phone: 858-405-2272
  • Fax: 858-550-9032
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License NumberA20742
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: