Organization Active NPI

MGF Surgery, AMC

  • Otolaryngology Physician
  • Fallbrook, CA
National Provider Identifier
1083848501
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
G46300 Issued in CA
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

Updated by the provider on Sep 23, 2010

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)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.