NPIMap

Organization Active NPI

Elizabeth Supportive Medical Specialists, a Medical Corporation

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Escondido, CA
National Provider Identifier
1154861979
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
ELIZABETH SUPPORTIVE MEDICAL SPECIALISTS, A MEDICAL CORPORATION
Practice address
800 W Valley Pkwy Ste 203
Escondido, CA 92025-2557
Phone
(760) 796-3763
Fax
(760) 796-3788
NPI assigned
Feb 27, 2017
Last updated
Jun 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Charles F Von Gunten, MDNPI 1215003843
Title
Owner/President
Phone
(760) 737-2050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0002X Primary

Addresses

Primary practice location

800 W Valley Pkwy Ste 203
Escondido, CA 92025-2557

Mailing address

800 W Valley Pkwy Ste 100
Escondido, CA 92025-2557
Phone (760) 737-2050

Other practice location 1

27720 Jefferson Ave Ste 200
Temecula, CA 92590-2630
Phone (760) 737-2050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170426002596 CA Part B Supplier - Clinic/Group Practice 3971880055 Receives reassigned benefits from 20 practitioners
Practice locations: Escondido, CA

National Provider Directory

National Provider Directory

Locations

500 La Terraza Blvd
Ste 320
Escondido, CA 92025
Phone (800) 797-2050

800 W Valley Pkwy
Ste 203
Escondido, CA 92025
Phone (760) 796-3763

930 Canterbury Pl
Escondido, CA 92025
Phone (816) 520-6145

27720 Jefferson Ave
Ste 200
Temecula, CA 92590
Phone (760) 796-3758

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1154861979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W VALLEY PKWY STE 100",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920252557",
            "telephone_number": "760-737-2050",
            "fax_number": "760-796-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W VALLEY PKWY STE 203",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920252557",
            "telephone_number": "760-796-3763",
            "fax_number": "760-796-3788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27720 Jefferson Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925902630",
            "country_code": "US",
            "telephone_number": "760-737-2050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELIZABETH SUPPORTIVE MEDICAL SPECIALISTS, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "VON GUNTEN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "760-737-2050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.