Individual provider Active NPI

Caroline Jane Vilchis, MD

  • Urology Physician
  • Oceanside, CA
National Provider Identifier
1083810410
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A104518 Issued in CA
Practice address
3609 Vista Way
Oceanside, CA 92056
Phone
(760) 637-2500
Fax
(760) 637-2501
NPI assigned
Jun 22, 2007
Last updated
Mar 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A104518 CA Primary

Addresses

Primary practice location

3609 Vista Way
Oceanside, CA 92056

Mailing address

3609 Vista Way
Oceanside, CA 92056
Phone (760) 637-2500

Other names 1

  • Caroline Jane Colangelo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140516000067 CA Practitioner - Urology 6507089752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Arkansas College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Coast Urology Medical Associates IncGroup PAC ID 7810931250, 4 clinicians

Practice addresses (Care Compare)

3609 Vista Way
Oceanside, CA 92056-4522
Phone (760) 637-2500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.05 of 100Reported as group
Promoting interoperability
93
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
104518CAMDMarriage & Family Therapist
A104518CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
North Coast Urology Medical Associates Inc Urology CurrentSince Mar 15, 2014 Accepting new patients
Scripps Health Past Accepting new patients
Tri-City Hospital Past Accepting new patients

Locations

3609 Vista Way
Oceanside, CA 92056
Phone (619) 941-1291

3609 Vista Way
Ste B
Oceanside, CA 92056
Phone (618) 210-4725

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: cvilchis28111@scrippshlth.medalliesdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1083810410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 VISTA WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "92056",
            "telephone_number": "760-637-2500",
            "fax_number": "760-637-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 VISTA WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "92056",
            "telephone_number": "760-637-2500",
            "fax_number": "760-637-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILCHIS",
        "first_name": "CAROLINE",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A104518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "COLANGELO",
            "middle_name": "JANE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.