Primary Care Associates Medical Group, Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

A70831 Issued in CA

Legal business name

PRIMARY CARE ASSOCIATES MEDICAL GROUP, INC

Practice address

3998 Vista Way
Suite B
Oceanside, CA 92056-4500

Phone

(760) 724-5173

Fax

(760) 724-5265

NPI assigned

Dec 29, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Jeannette Brody

Title

Billing Manager

Phone

(760) 724-1033

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• Coastal Orthopaedics & Sports Medical Group Doing business as

Locations

Practitioners 1

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

• John A Lafata, MD

  • Internal Medicine Physician
  • Vista, CA
  • NPI 1285662403
  NPD (past)

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1073590105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 VISTA WAY",
            "address_2": "SUITE B",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564500",
            "telephone_number": "760-724-5173",
            "fax_number": "760-724-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3998 VISTA WAY",
            "address_2": "SUITE B",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564500",
            "telephone_number": "760-724-5173",
            "fax_number": "760-724-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE ASSOCIATES MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "BRODY",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "760-724-1033",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A70831",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A47884",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "A70831",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A68137",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4564",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA17120",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0089840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Orthopaedics & Sports Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prestige Infinity Hospice
• Eric W Preugschat Jr.
• Eden Victoria Price
• Emmaleigh Price, R.T.(R)
• Jasper Bernales Prima
• Taylor Pringle, DMD
• Daniela Pritchard
• Proper Buys LLC
• Katerina Paige Prossr, PHD
• Carla Pryor

• Orthopaedic Surgery Physician in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.