Active NPI
Waring Court Pediatric and Adult Medical Group
Doing business as Surfside Medical Group
- Family Medicine Physician
- Oceanside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A113589
- Legal business name
- WARING COURT PEDIATRIC AND ADULT MEDICAL GROUP
- Doing business as
- Surfside Medical Group
- Practice address
- 3230 Waring CT
Suite J
Oceanside, CA 92056-4509 - Phone
- (760) 941-4498
- Fax
- (760) 941-6938
- NPI assigned
- Mar 31, 2006
- Last updated
- Sep 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Evanne Wilkey
- Title
- Practice Director
- Phone
- (760) 941-4498
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A113589 | CA | Primary |
| Medical Physician Assistant | 363AM0700X | PA19297 | CA | |
| Family Nurse Practitioner | 363LF0000X | PA15228 | CA |
Addresses
Primary practice location
3230 Waring CT
Suite J
Oceanside, CA 92056-4509
Mailing address
3230 Waring CT Ste J
Oceanside, CA 92056-4509
Phone (760) 941-4498
Other practice location 1
3609 Ocean Ranch Blvd Ste 110
Oceanside, CA 92056-2698
Phone (760) 941-4498
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164483723 | Other | CA | NPI |
Other names 1
- Surfside Medical Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0568292 | Waring Court Pediatric & Adult Med GRP | Certificate of waiver | Mar 7, 2027 |
National Provider Directory
National Provider DirectoryNetworks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Family Medicine Physician
- Oceanside, CA
- NPI 1821431610
-
- Physician Assistant
- Oceanside, CA
- NPI 1346056025
-
- Family Nurse Practitioner
- Oceanside, CA
- NPI 1295298859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790640000000",
"number": "1164483723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3230 WARING CT STE J",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920564509",
"telephone_number": "760-941-4498",
"fax_number": "760-941-6938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3230 WARING CT",
"address_2": "SUITE J",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920564509",
"telephone_number": "760-941-4498",
"fax_number": "760-941-6938"
}
],
"practiceLocations": [
{
"address_1": "3609 Ocean Ranch Blvd Ste 110",
"address_purpose": "LOCATION",
"city": "Oceanside",
"state": "CA",
"postal_code": "920562698",
"country_code": "US",
"telephone_number": "760-941-4498",
"fax_number": "760-941-6938",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WARING COURT PEDIATRIC AND ADULT MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-31",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A",
"authorized_official_last_name": "WILKEY",
"authorized_official_first_name": "EVANNE",
"authorized_official_title_or_position": "PRACTICE DIRECTOR",
"authorized_official_telephone_number": "760-941-4498"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A113589",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA19297",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "PA15228",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1164483723",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Surfside Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.