Organization Active NPI

Equip Health Medical Colorado PC

  • Psychiatry Physician
  • Carlsbad, CA
National Provider Identifier
1104626183
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
EQUIP HEALTH MEDICAL COLORADO PC
Practice address
2659 State St
Ste 100
Carlsbad, CA 92008
Phone
(320) 249-7337
NPI assigned
Mar 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
Molly Menton
Title
VP, Compliance
Phone
(320) 249-7337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2659 State St
Ste 100
Carlsbad, CA 92008

Mailing address

2659 State St
Carlsbad, CA 92008-1627
Phone (320) 249-7337

National Provider Directory

National Provider Directory

Locations

2659 State St
Carlsbad, CA 92008
Phone (320) 249-7337

Practitioners & affiliated clinicians

Practitioners 1

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": "1742256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1104626183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2659 STATE ST",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081627",
            "telephone_number": "320-249-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2659 STATE ST",
            "address_2": "STE 100",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "92008",
            "telephone_number": "320-249-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUIP HEALTH MEDICAL COLORADO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "MENTON",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "VP, COMPLIANCE",
        "authorized_official_telephone_number": "320-249-7337"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.