Proxima Medical Group

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PROXIMA MEDICAL GROUP

Practice address

7364 El Cajon Blvd
Ste 203
San Diego, CA 92115-1864

Phone

(619) 312-1262

NPI assigned

Apr 6, 2009

Organization subpart

No

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

Authorized official

Name

Elizabeth Pitt

Title

Owner

Phone

(619) 312-1262

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1174765101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7364 EL CAJON BLVD",
            "address_2": "STE 203",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921151864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7364 EL CAJON BLVD",
            "address_2": "STE 203",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921151864",
            "telephone_number": "619-312-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROXIMA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "PITT",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-312-1262"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Reese Suarez Provido
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• Melissa Provost
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• Brigite Prud'Homme
• Elizabeth Pruett
• Michelle Pruett, NP
• Zhike Pruett, N.P.
• Yaron Pruginin, PSY.D.

• Durable Medical Equipment & Medical Supplies in San Diego, CA
• Providers in San Diego, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.