NPIMap

Organization Active NPI

Qualitycare Medical Center

  • Specialist
  • Oceanside, CA
National Provider Identifier
1013065234
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
QUALITYCARE MEDICAL CENTER
Practice address
3142 Vista Way
100
Oceanside, CA 92056-3619
Phone
(760) 721-3200
Fax
(760) 754-3855
NPI assigned
Jan 5, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Michael J. Nelms, PA-C
Title
Administrative Assistant
Phone
(760) 730-9992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X CA Primary

Addresses

Primary practice location

3142 Vista Way
100
Oceanside, CA 92056-3619

Mailing address

3142 Vista Way
303
Oceanside, CA 92056-3619
Phone (760) 630-2655

National Provider Directory

National Provider Directory

Locations

3142 Vista Way
Ste 100
Oceanside, CA 92056
Phone (760) 721-3200

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013065234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3142 VISTA WAY",
            "address_2": "303",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920563619",
            "telephone_number": "760-630-2655",
            "fax_number": "760-630-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3142 VISTA WAY",
            "address_2": "100",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920563619",
            "telephone_number": "760-721-3200",
            "fax_number": "760-754-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITYCARE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELMS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "760-730-9992",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.