Healthcare Provider Details

I. General information

NPI: 1750321378
Provider Name (Legal Business Name): JOHN MICHAEL PABERS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2304 JUAN ST
SAN DIEGO CA
92103-1111
US

IV. Provider business mailing address

2304 JUAN ST
SAN DIEGO CA
92103-1111
US

V. Phone/Fax

Practice location:
  • Phone: 858-539-5268
  • Fax:
Mailing address:
  • Phone: 858-539-5268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License NumberG74686
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD60225583
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: