Cassidy Medical Group Inc.
Organization Active NPI Multi-Specialty Clinic/Center · Vista, CA
NPI 1215003470 · NPPES record last updated Jun 9, 2010
Key facts
- NPI
- 1215003470
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- CASSIDY MEDICAL GROUP INC.
- Practice address
- 145 Thunder Dr
Vista, CA 92083-6010 - Phone
- (760) 630-5487
- Fax
- (760) 630-2558
- NPI assigned
- Nov 28, 2006
- Organization subpart
- No
Authorized official
- Name
- John M Bennett, M.D.
- Title
- President
- Phone
- (760) 630-5487
Subparts reporting this organization as parent 5
Practitioners 310
-
Olga M. Adan, M.D.
-
Shanta Adhikari, NP
-
James E Agee, M.D.
-
Reshma Gulati Aggarwal, M.D.
-
Lindsay Anne Ahmed, M.D.
-
Dora T Akuetteh-Saforo, M.D, FAAFP
-
Ronnie Alas, M.D.
-
Shazia Ali, M.D.
-
Noura Aman, PA
-
Nicole Michelle Antonio, M.D.
-
Amanda Ardessi, FNP-C
-
Ghazal N Bahri, M.D.
-
Augusto F Banayat, FNP
-
Dennis John Bansil, PA-C
-
Renea Barrientos, NP
-
Steven Beck, M.D.
-
Steven Joseph Becker, D.O.
-
Eleia Bibay, FNP
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
145 Thunder Dr
Vista, CA 92083-6010
Mailing address
145 Thunder Dr
Vista, CA 92083-6010
Phone (760) 630-5487
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 366026600 | Other | CA | DEPARTMENT OF LABOR ID |
| GR0060600 | Medicaid | CA | |
| 3000 | Other | CA | NEIC SITE ID, NSF BA0-7 |
| ZZZ59748Z | Other | CA | BLUE CROSS BLUE SHIELD ID |
| CAME25 | Other | CA | UNIVERSAL ID |
Other providers in Vista, CA
- Kristina Lukomski Casola
- Cassidy Medical Group - OB-GYN
- Cassidy Medical Group - Radiology
- Cassidy Medical Group - SW
- Cassidy Medical Group -Peds
- Valerie E. Cassidy
- Ashley Rochele Castelhano
- Doris Castillo
- Martha Castillo
- Sophia Eloise Castillo
All providers in Vista, CA · Multi-Specialty Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.