Active NPI
MGF Surgery, AMC
- Otolaryngology Physician
- Fallbrook, CA
National Provider Identifier
1083848501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- G46300
- Legal business name
- MGF SURGERY, AMC
- Practice address
- 521 E Elder St
Suite 202
Fallbrook, CA 92028-3081 - Phone
- (760) 723-1100
- Fax
- (760) 723-2180
- NPI assigned
- May 12, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Pamela A Lehman
- Title
- Billing, Credentialing, Contracting
- Phone
- (951) 215-1889
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | G46300 | CA | Primary |
Addresses
Primary practice location
521 E Elder St
Suite 202
Fallbrook, CA 92028-3081
Mailing address
521 E Elder St
Suite 202
Fallbrook, CA 92028-3081
Phone (760) 723-1100
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285200000000",
"number": "1083848501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 E ELDER ST",
"address_2": "SUITE 202",
"city": "FALLBROOK",
"state": "CA",
"postal_code": "920283081",
"telephone_number": "760-723-1100",
"fax_number": "760-723-2180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 E ELDER ST",
"address_2": "SUITE 202",
"city": "FALLBROOK",
"state": "CA",
"postal_code": "920283081",
"telephone_number": "760-723-1100",
"fax_number": "760-723-2180"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MGF SURGERY, AMC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-12",
"last_updated": "2010-09-23",
"status": "A",
"authorized_official_last_name": "LEHMAN",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "BILLING, CREDENTIALING, CONTRACTING",
"authorized_official_telephone_number": "951-215-1889",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "CA",
"license": "G46300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fallbrook, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.