Iyabo O Daramola
Internal Medicine

Address: 2401 Reo Dr, San Diego, CA 92139
Phone: 6194796767

Iyabo O Daramola (NPI# 1851378236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1851378236
Entity Type Individual
Full Name Iyabo O Daramola
Credential MD
Gender Female
Practice Address 2401 Reo Dr
San Diego
CA 92139
Practice Telephone 6194796767
Practice Fax Number 6194343380
Mailing Address Po Box 675833
Rancho Santa Fe
CA 92067-5833
Mailing Telephone 6194896767
Mailing Fax Number 6194348840
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2005-12-28
Last Update Date 2013-09-06

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207R00000X Internal Medicine Allopathic & Osteopathic Physicians A463633 CA

Other Provider Identifier

State Identifier Issuer Type Code
CA 00A636330 MEDICAID

Physician Overview

NPI 1851378236
PAC ID by PECOS 1153374400
Professional Enrollment ID I20050225000705
Full Name Iyabo O Daramola
Organization Legal Name IYABO DARAMOLA MD INC
Phone Number 6194796767
Gender F
Credential MD
Graduation Year 1987
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 3779537543
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050222 SHARP CHULA VISTA MEDICAL CENTER
050100 SHARP MEMORIAL HOSPITAL

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

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Office Location

Street Address 2401 REO DR
City SAN DIEGO
State CA
Zip Code 92139

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750896502 Steven Richard Bayer Physician Assistant 2401 Reo Dr, San Diego, CA 92139-3025 2017-12-01
1083082507 Mia K Truong Nurse Practitioner 2401 Reo Dr, San Diego, CA 92139-3025 2015-09-15
1013286707 Caring Hearts Medical Foundation and Health Services Inc Clinic/Center 2401 Reo Dr, San Diego, CA 92139-3025 2011-12-24
1477751667 Jimi O. Benson Internal Medicine 2401 Reo Dr, San Diego, CA 92139-3025 2007-07-10
1437161304 George Ifeanyichukwu Anyaji Internal Medicine 2401 Reo Dr, San Diego, CA 92139-3025 2006-08-12
1114938214 Iyabo Daramola Md Inc Internal Medicine 2401 Reo Dr, San Diego, CA 92139-3025 2006-08-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831621689 Paige Tetreau Prevention Professional 2367 Morningside St, San Diego, CA 92139 2017-03-31
1881030310 Brandon Christopher Jackson Military Health Care Provider 6810 Camphor Ln, San Diego, CA 92139 2013-05-10
1720316532 Jacobi Medical Center General Acute Care Hospital 6861 Potomac Street, 57, San Diego, CA 92139 2009-12-07
1083862296 Jennie C Bilbes Registered Nurse 6860 Bear Rier Row, Unit #1, San Diego, CA 92139 2008-08-29
1104033018 Shanon Star Murillo Internal Medicine 2401 Reo Drive, San Diego, CA 92139 2007-05-17
1770180648 Darius Lee Sean Woods Military Health Care Provider 6033 Sandy Shore Ct, San Diego, CA 92139-1014 2020-10-05
1134580913 Emilio Casenave Military Health Care Provider 6031 Sandy Shore Ct, San Diego, CA 92139-1014 2016-03-08
1689934879 Neil Allen Regero Nucup Military Health Care Provider 1802 Rocky Shore Rd, San Diego, CA 92139-1017 2012-05-21
1568855880 Jameson Basa Military Health Care Provider 1976 Sky Harbor Rd, San Diego, CA 92139-1023 2015-03-11
1558798918 Jesse Lee Reed Military Health Care Provider 6016 Rock Island Rd, San Diego, CA 92139-1030 2013-10-01
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Competitor

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City SAN DIEGO
Zip Code 92139

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.