Provider Demographics
NPI:1184618175
Name:LINSON, PATRICK W (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:W
Last Name:LINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10790 RANCHO BERNARDO RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92127-5705
Mailing Address - Country:US
Mailing Address - Phone:760-634-4300
Mailing Address - Fax:
Practice Address - Street 1:916 SYCAMORE AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92081-7815
Practice Address - Country:US
Practice Address - Phone:760-599-9545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-06
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA830542085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A830540Medicaid
CA00A830540Medicaid
CAWA83054AMedicare PIN