NPIMap

Organization Active NPI

Pulmonary Specialists of North County, Inc

  • Pulmonary Disease Physician
  • Oceanside, CA
National Provider Identifier
1073127247
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
PULMONARY SPECIALISTS OF NORTH COUNTY, INC
Practice address
3907 Waring Rd Ste 2
Oceanside, CA 92056-4454
Phone
(760) 941-0221
Fax
(760) 941-0905
NPI assigned
Sep 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Authorized official

Name
Mark Ko Yamanaka, MDNPI 1013004852
Title
Ceo
Phone
(760) 941-0221

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
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

3907 Waring Rd Ste 2
Oceanside, CA 92056-4454

Mailing address

3907 Waring Rd Ste 2
Oceanside, CA 92056-4454
Phone (760) 941-0221

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210129000675 CA Part B Supplier - Clinic/Group Practice 0042624223 Receives reassigned benefits from 7 practitioners
Practice locations: Oceanside, CA

National Provider Directory

National Provider Directory

Locations

3907 Waring Rd
Ste 2
Oceanside, CA 92056
Phone (760) 941-0221

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1073127247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 WARING RD STE 2",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564454",
            "telephone_number": "760-941-0221",
            "fax_number": "760-941-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 WARING RD STE 2",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564454",
            "telephone_number": "760-941-0221",
            "fax_number": "760-941-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY SPECIALISTS OF NORTH COUNTY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-03",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "YAMANAKA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "KO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-941-0221",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "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 Jul 12, 2023; 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.