Outreach Care Medical Group, Inc

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

A60865 Issued in CA

Legal business name

OUTREACH CARE MEDICAL GROUP, INC

Practice address

2171 S El Camino Real
Suite 104
Oceanside, CA 92054-6229

Phone

(760) 754-5663

NPI assigned

Mar 22, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jacob N Flores

Title

Physician

Phone

(760) 754-5663

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paz M. Lorenzo, NP-C

  • Family Nurse Practitioner
  • Los Angeles, CA
  • NPI 1013353903
  Medicare reassignment NPD
• Armida Theresa Robles, FNP

  • Family Nurse Practitioner
  • El Monte, CA
  • NPI 1386995413
  Medicare reassignment NPD
• Dennis Stolpner, M.D.

  • General Practice Physician
  • Santa Ana, CA
  • NPI 1497018782
  Medicare reassignment NPD
• Setareh Faghani, N.P.

  • Nurse Practitioner
  • Oceanside, CA
  • NPI 1598216624
  Medicare reassignment
• Jacobo Nava Flores, M.D

  • Adult Medicine Physician
  • Oceanside, CA
  • NPI 1164469201
  Medicare reassignment
• Ling Le, NP

  • Primary Care Nurse Practitioner
  • Sherman Oaks, CA
  • NPI 1780765420
  Medicare reassignment
• Michael Nam Truong, M.D.

  • General Practice Physician
  • Fountain Valley, CA
  • NPI 1376834143
  Medicare reassignment

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1285976787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 S EL CAMINO REAL",
            "address_2": "SUITE 104",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546229",
            "telephone_number": "760-754-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 S EL CAMINO REAL",
            "address_2": "SUITE 104",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546229",
            "telephone_number": "760-754-5663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1711 W Temple St Ste 3654",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900267336",
            "country_code": "US",
            "telephone_number": "888-693-6211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OUTREACH CARE MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-22",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "760-754-5663",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A60865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santiago Osorio, PT, DPT
• Megan Marie Ostergard, SLPA
• Pedro Benyamin Ostrosky Slomianski
• Bronson Henry Ouellette, RD
• Parisa Ourmazdi, PHARMD
• Chelsea Dawn Ovanek, DNP, FNP-C, ENP-C
• Edilma Overell, RN238664
• Pamela Overend, RN
• Casey Owen-Armitage
• Annalane Brogdon Owens, CCC-SLP

• Geriatric Medicine (Family Medicine) Physician in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Geriatric Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.