Individual provider Active NPI

Monique C McCormick, M.D.

  • Anesthesiology Physician
  • Escondido, CA
National Provider Identifier
1235190158
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A93480 Issued in CA
Practice address
555 E Valley Pkwy
Escondido, CA 92025
Phone
(760) 739-3000
NPI assigned
Mar 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A93480 CA Primary

Addresses

Primary practice location

555 E Valley Pkwy
Escondido, CA 92025

Mailing address

16955 Via del Campo
Ste 215
San Diego, CA 92127-7720
Phone (858) 673-6100

Other names 1

  • Monique C Mathews Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060209000424 CA Practitioner - Anesthesiology 4284667551 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Nebraska College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Springs Anesthesia Services PCGroup PAC ID 6406049592, 90 clinicians

Practice addresses (Care Compare)

2101 N Waterman Ave
San Bernardino, CA 92404-4836
Phone (760) 449-5391

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.5 of 100Reported as group
Quality
70
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
93480CAMDMarriage & Family Therapist
A93480CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Consultants of California Medical Group Inc Anesthesiology CurrentSince Jan 1, 2006 Accepting new patients
Coachella Valley Anesthesia a Professional Corporation Anesthesiology CurrentSince Oct 1, 2023 Accepting new patients
Palm Springs Anesthesia Services, PC Anesthesiology CurrentSince Aug 26, 2016 Accepting new patients
Father Flanagan'S Boys' Home Anesthesiology Past Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

555 E Valley Pkwy
Escondido, CA 92025
Phone (760) 739-3000

700 W El Norte Pkwy
Escondido, CA 92026
Phone (760) 738-7830

6601 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500

47120 Dune Palms Rd
Ste 111
La Quinta, CA 92253
Phone (760) 219-0155

44815 Fig Ave
Ste 100
Lancaster, CA 93534
Phone (661) 802-7978

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

44139 Monterey Ave
Ste B
Palm Desert, CA 92260
Phone (760) 773-4411

44651 Village Ct
Ste 104
Palm Desert, CA 92260
Phone (760) 249-2222

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

1180 N Indian Canyon Dr
Ste W110
Palm Springs, CA 92262
Phone (760) 416-4600

16955 Via del Campo
Ste 215
San Diego, CA 92127
Phone (858) 673-6100

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1235190158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16955 VIA DEL CAMPO",
            "address_2": "STE 215",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921277720",
            "telephone_number": "858-673-6100",
            "fax_number": "858-673-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E VALLEY PKWY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "92025",
            "telephone_number": "760-739-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "MONIQUE",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A93480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONIQUE",
            "last_name": "MATHEWS",
            "middle_name": "C",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.