Organization Active NPI

Transcendental Osteopathic Medicine, Inc.

  • Primary Care Clinic/Center
  • San Diego, CA
National Provider Identifier
1194174425
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
20A11169 Issued in CA
Legal business name
TRANSCENDENTAL OSTEOPATHIC MEDICINE, INC.
Practice address
3706 Ruffin Rd
Suite 129
San Diego, CA 92123-1812
Phone
(858) 587-1822
Fax
(858) 587-8967
NPI assigned
Jun 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Authorized official

Name
Dr. Jake Eugene Fleming, D.O.NPI 1801042015
Title
Ceo
Phone
(858) 587-1822

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
Primary Care Clinic/Center 261QP2300X 20A11169 CA Primary

Addresses

Primary practice location

3706 Ruffin Rd
Suite 129
San Diego, CA 92123-1812

Mailing address

3706 Ruffin Rd
Suite 129
San Diego, CA 92123-1812
Phone (858) 587-1822

Other names 1

  • Transcendental Osteopathy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160923000714 CA Part B Supplier - Clinic/Group Practice 3678860368 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA; Del Mar, CA; San Deigo, CA

National Provider Directory

National Provider Directory

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": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1194174425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 RUFFIN RD",
            "address_2": "SUITE 129",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231812",
            "telephone_number": "858-587-1822",
            "fax_number": "858-587-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 RUFFIN RD",
            "address_2": "SUITE 129",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231812",
            "telephone_number": "858-587-1822",
            "fax_number": "858-587-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSCENDENTAL OSTEOPATHIC MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "JAKE",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-587-1822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "20A11169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Transcendental Osteopathy",
            "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 Jun 7, 2016; 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.