Active NPI
Qualitycare Medical Center
- Specialist
- Escondido, CA
National Provider Identifier
1205984424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- QUALITYCARE MEDICAL CENTER
- Practice address
- 735 E Ohio Ave
203
Escondido, CA 92025-3437 - Phone
- (760) 735-3020
- Fax
- (760) 735-3021
- NPI assigned
- Jan 5, 2007
- 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
- Mr. Michael J Nelms, PA-C
- Title
- Ceo
- Phone
- (760) 730-9992
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | CA | Primary |
Addresses
Primary practice location
735 E Ohio Ave
203
Escondido, CA 92025-3437
Mailing address
3142 Vista Way
303
Oceanside, CA 92056-3619
Phone (760) 630-2655
National Provider Directory
National Provider DirectoryLocations
2804 Roosevelt St
Carlsbad, CA 92008
Phone (760) 720-2804
3142 Vista Way
Ste 303
Oceanside, CA 92056
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Vista, CA
- NPI 1659355907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1205984424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3142 VISTA WAY",
"address_2": "303",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920563619",
"telephone_number": "760-630-2655",
"fax_number": "760-630-3542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 E OHIO AVE",
"address_2": "203",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920253437",
"telephone_number": "760-735-3020",
"fax_number": "760-735-3021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUALITYCARE MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NELMS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "760-730-9992",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.