North County Cardiothoracic Surgery a Medical Corporation

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

C30651 Issued in CA

Legal business name

NORTH COUNTY CARDIOTHORACIC SURGERY A MEDICAL CORPORATION

Practice address

3998 Vista Way
Suite a
Oceanside, CA 92056

Phone

(760) 726-2500

Fax

(760) 726-3279

NPI assigned

Oct 28, 2005

Organization subpart

No

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

Authorized official

Name

Jean Folkerth

Title

Office Manager

Phone

(760) 726-2500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1104817238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 VISTA WAY",
            "address_2": "SUITE A",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "92056",
            "telephone_number": "760-726-2500",
            "fax_number": "760-726-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3998 VISTA WAY",
            "address_2": "SUITE A",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "92056",
            "telephone_number": "760-726-2500",
            "fax_number": "760-726-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTY CARDIOTHORACIC SURGERY A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "FOLKERTH",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "760-726-2500"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "C30651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C306510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Coast Physical Therapy Inc (North Coast Physical Therapy)
• North Coast Plastic Surgery, Inc.
• North Coast Surgery Center LTD
• North Coast Urology Medical Associates Inc (North Coast Urology)
• North County Acupuncture
• North County Cardiovascular Specialists, Apmc
• North County Clinical Research Inc
• North County CVT Surgery Associates
• North County Ear Nose & Throat Head & Neck Surgey Inc
• North County Gastroenterology Medical Group, Inc.

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.