Organization Active NPI

Contemporary Medicine a Medical Corporation

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1144543075
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A99956 Issued in CA
Legal business name
CONTEMPORARY MEDICINE A MEDICAL CORPORATION
Practice address
7695 Cardinal CT
Suite # 375
San Diego, CA 92123-3357
Phone
(858) 384-6857
Fax
(858) 277-1475
NPI assigned
Mar 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Mrs. Eva Mariela Rodriguez, DO
Title
Office Manager/Biller
Phone
(619) 415-6636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A99956 CA Primary

Addresses

Primary practice location

7695 Cardinal CT
Suite # 375
San Diego, CA 92123-3357

Mailing address

7695 Cardinal CT
Suite # 375
San Diego, CA 92123-3357
Phone (858) 384-6857

Other practice location 1

231 W Main St Ste 201
El Cajon, CA 92020-3317
Phone (858) 384-6857

Other identifiers 1

IdentifierTypeStateIssuer
A99956OtherCAMEDICARE PROVIDER NUMBER

Other names 1

  • CONTEMPORARY MEDICINE A MEDICAL CORPORATION Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180302000592 CA Part B Supplier - Clinic/Group Practice 3476814609 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

231 W Main St
Fl 2
El Cajon, CA 92020
Phone (619) 631-7300

231 W Main St
Ste 201
El Cajon, CA 92020
Phone (858) 384-6857

7695 Cardinal Ct
Ste 375
San Diego, CA 92123
Phone (858) 231-5530

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": "1267833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1144543075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7695 CARDINAL CT",
            "address_2": "SUITE # 375",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921233357",
            "telephone_number": "858-384-6857",
            "fax_number": "858-277-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7695 CARDINAL CT",
            "address_2": "SUITE # 375",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921233357",
            "telephone_number": "858-384-6857",
            "fax_number": "858-277-1475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 W Main St Ste 201",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920203317",
            "country_code": "US",
            "telephone_number": "858-384-6857",
            "fax_number": "858-277-1475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONTEMPORARY MEDICINE A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-06",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "EVA",
        "authorized_official_middle_name": "MARIELA",
        "authorized_official_title_or_position": "OFFICE MANAGER/BILLER",
        "authorized_official_telephone_number": "619-415-6636",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A99956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "A99956",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CONTEMPORARY MEDICINE A MEDICAL CORPORATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.