Look up the most recent NPI and PECOS records

Joseph Sheridan Md Inc

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

7850 Vista Hill Ave, San Diego, CA 92123-2717

PECOS Enrollment

Based on the most recent information from CMS, provider Joseph Sheridan Md Inc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1699490136
Provider Type
Organization
Full Name
Joseph Sheridan Md Inc

Subpart
No
Enumeration Date
10/6/2022
Last Updated
10/7/2022

Contact Information

Practice Location

7850 Vista Hill Ave, San Diego, CA 92123-2717

(619) 630-1036

(619) 609-0059

Mailing Location

PO Box 1770, La Mesa, CA 91944-1770

(619) 464-1165

Unlisted Fax

Authorized Official

Sheridan, Joseph J (Md)

(619) 630-1036

Provider Taxonomies

Code	Description	License
Code 2084P0804X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 2084P0800X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License Unlisted Issuer

Joseph Sheridan Md Inc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Barron, Alistair Owen

Lozano Camhi, Michelle Irene

Feriante, Joshua

Masillamoni, Stephen Ranjit

Solway, Karen E

Greenberg, Jonathan

Schweitzer, Jason

Tung, Eric Yuanker

Perez, Nicholas Jesus

Lidstone, Paven Kaur Aujla