Organization Active NPI

Qualitycare Medical Center

  • Specialist
  • Escondido, CA
National Provider Identifier
1205984424
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.