Provider Demographics
NPI:1801328331
Name:CHISARI, FRANCIS VINCENT (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:VINCENT
Last Name:CHISARI
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 1:1010 CREST RD
Mailing Address - Street 2:
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-2602
Mailing Address - Country:US
Mailing Address - Phone:858-755-7661
Mailing Address - Fax:
Practice Address - Street 1:1010 CREST RD
Practice Address - Street 2:
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-2602
Practice Address - Country:US
Practice Address - Phone:858-755-7661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-03
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG25675207R00000X, 207ZI0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZI0100XAllopathic & Osteopathic PhysiciansPathologyImmunopathology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine