Individual provider Active NPI

Majid Michael Naficy, M.D.

  • Community/Behavioral Health Agency
  • El Cajon, CA
National Provider Identifier
1265564553
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
G70878 Issued in CA
Practice address
1000 Broadway Ave.
Suite 210
El Cajon, CA 92021-4803
Phone
(619) 401-5500
Fax
(619) 401-5454
NPI assigned
Mar 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X G70878 CA Primary

Addresses

Primary practice location

1000 Broadway Ave.
Suite 210
El Cajon, CA 92021-4803

Mailing address

1000 Broadway Ave.
Suite 210
El Cajon, CA 92021-4803
Phone (619) 401-5500

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
I20040923001156 CA Practitioner - Psychiatry 4183692486 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70878CAMDPharmacist
G70878CAMDCommunity/Behavioral Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Diego Community/Behavioral Health Current Accepting new patients
County of San Diego CurrentSince May 1, 2007 Accepting new patients
County of San Diego Community/Behavioral Health CurrentSince May 1, 2007 Accepting new patients

Locations

1000 Broadway
Ste 210
El Cajon, CA 92021
Phone (619) 401-5500

1250 Morena Blvd
San Diego, CA 92110
Phone (619) 692-8715

3177 Ocean View Blvd
San Diego, CA 92113
Phone (619) 231-9300

3853 Rosecrans St
San Diego, CA 92110
Phone (619) 615-0439

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1265564553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BROADWAY AVE.",
            "address_2": "SUITE 210",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920214803",
            "telephone_number": "619-401-5500",
            "fax_number": "619-401-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BROADWAY AVE.",
            "address_2": "SUITE 210",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920214803",
            "telephone_number": "619-401-5500",
            "fax_number": "619-401-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAFICY",
        "first_name": "MAJID",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "G70878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

Verify at the official NPI Registry.