Organization Active NPI

Palomar Orthopaedic Specialists, Apmc

  • Specialist
  • Escondido, CA
National Provider Identifier
1063439875
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G66518 Issued in CA
Legal business name
PALOMAR ORTHOPAEDIC SPECIALISTS, APMC
Practice address
255 N Elm St
Suite 105
Escondido, CA 92025-3431
Phone
(760) 743-0100
Fax
(760) 743-1414
NPI assigned
Jul 16, 2006
Last updated
Apr 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Authorized official

Name
Dr. Patrick M O'Meara, M.D.NPI 1841290509
Title
President
Phone
(760) 743-0100

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 G66518 CA Primary

Addresses

Primary practice location

255 N Elm St
Suite 105
Escondido, CA 92025-3431

Mailing address

255 N Elm St
Suite 105
Escondido, CA 92025-3431
Phone (760) 743-0100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050421001527 CA Part B Supplier - Clinic/Group Practice 1052359791 Receives reassigned benefits from 1 practitioner
Practice locations: Escondido, CA

National Provider Directory

National Provider Directory

Locations

6121 Paseo del Norte
Ste 200
Carlsbad, CA 92011
Phone (760) 724-9000

Practitioners & affiliated clinicians

Practitioners 1

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": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1063439875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N ELM ST",
            "address_2": "SUITE 105",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253431",
            "telephone_number": "760-743-0100",
            "fax_number": "760-743-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N ELM ST",
            "address_2": "SUITE 105",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253431",
            "telephone_number": "760-743-0100",
            "fax_number": "760-743-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOMAR ORTHOPAEDIC SPECIALISTS, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "O'MEARA",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-743-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G66518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.