Organization Active NPI

North County Endocrine Medical Group

Doing business as Advanced Metabolic Care & Research

  • Specialist
  • Escondido, CA
National Provider Identifier
1013068105
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A32416 Issued in CA
Legal business name
NORTH COUNTY ENDOCRINE MEDICAL GROUP
Doing business as
Advanced Metabolic Care & Research
Practice address
625 W Citracado Pkwy
Suite 108
Escondido, CA 92025
Phone
(760) 743-1431
Fax
(760) 743-6455
NPI assigned
Jan 15, 2007
Last updated
Feb 15, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH COUNTY ENDOCRINE MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Authorized official

Name
Mr. Timothy Silleck Bailey, M.D.NPI 1194800052
Title
President
Phone
(760) 743-1431

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A32416 CA Primary

Addresses

Primary practice location

625 W Citracado Pkwy
Suite 108
Escondido, CA 92025

Mailing address

625 W Citracado Pkwy
Suite 108
Escondido, CA 92025-6248
Phone (760) 743-1431

Other practice location 1

28441 Rancho California Rd Ste 204
Temecula, CA 92590-3618
Phone (951) 699-4601

Other names 1

  • Advanced Metabolic Care & Research Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051004001147 CA Part B Supplier - Clinic/Group Practice 8224063607 Receives reassigned benefits from 17 practitioners
Practice locations: Escondido, CA; Oceanside, CA; Temecula, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0566900North County Endocrine Medical Group625 W Citracado Pkwy Ste 108 & 112, Escondido, CA 92025Certificate of waiverJun 19, 2027

National Provider Directory

National Provider Directory
Part of
North Cnty Endocrine Me

Locations

625 Citracado Pkwy
Ste 108
Escondido, CA 92025
Phone (760) 743-1431

700 W El Norte Pkwy
Ste 201
Escondido, CA 92026
Phone (760) 466-1554

28441 Rancho California Rd
Ste 104
Temecula, CA 92590
Phone (760) 743-1431

28441 Rancho California Rd
Ste 204
Temecula, CA 92590
Phone (951) 699-4601

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1013068105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W CITRACADO PKWY",
            "address_2": "SUITE 108",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920256248",
            "telephone_number": "760-743-1431",
            "fax_number": "760-743-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W CITRACADO PKWY",
            "address_2": "SUITE 108",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "92025",
            "telephone_number": "760-743-1431",
            "fax_number": "760-743-6455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28441 Rancho California Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925903618",
            "country_code": "US",
            "telephone_number": "951-699-4601",
            "fax_number": "760-743-6455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH COUNTY ENDOCRINE MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH COUNTY ENDOCRINE MEDICAL GROUP",
        "enumeration_date": "2007-01-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "SILLECK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-743-1431",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A32416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Metabolic Care & Research",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Metabolic Care & Research",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.