El Cajon Medical Group Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EL CAJON MEDICAL GROUP INC

Practice address

751 W Legion Rd Ste 300
Brawley, CA 92227-7755

Phone

(760) 351-4848

Fax

(760) 351-3839

NPI assigned

Apr 25, 2017

Last updated

Feb 3, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mehboob Ghulam, DO

Title

Owner

Phone

(760) 351-4848

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Claudia Patricia Charry Ortiz, FNP-C

  • Family Nurse Practitioner
  • Brawley, CA
  • NPI 1134994254
  NPD (past)
• Julio Ortiz, FNP

  • Nurse Practitioner
  • Calexico, CA
  • NPI 1831890995
  NPD (past)

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549152000000",
    "number": "1265967491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 W LEGION RD STE 300",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922277755",
            "telephone_number": "760-351-4848",
            "fax_number": "760-351-3839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "528 G St",
            "address_purpose": "LOCATION",
            "city": "Brawley",
            "state": "CA",
            "postal_code": "922272411",
            "country_code": "US",
            "telephone_number": "760-344-7976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 W Legion Rd",
            "address_purpose": "LOCATION",
            "city": "Brawley",
            "state": "CA",
            "postal_code": "922277780",
            "country_code": "US",
            "telephone_number": "760-351-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EL CAJON MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2019-02-03",
        "status": "A",
        "authorized_official_last_name": "GHULAM",
        "authorized_official_first_name": "MEHBOOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-351-4848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Gomez Drye
• Ana Gabriela Duarte, MSN, APRN, FNP-C
• Nora Mattea Mehlman Dumont, MD
• Edna I Flores MD a Professional Corporation
• Eggleton & Langton Physical Therapy Management Services
• Embraze Family Therapy Center, Inc. (Embraze Therapy)
• Thomas Ence, M.D.
• Jaime Anthone Englea Larra, DO
• Leonardo Piter Escalante Jr.
• Danela Sedantes Escueta, M.D.

• Internal Medicine Physician in Brawley, CA
• Providers in Brawley, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2019; 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.