Active NPI
Medical Group of North County, Inc.
- Internal Medicine Physician
- Vista, CA
National Provider Identifier
1306871306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MEDICAL GROUP OF NORTH COUNTY, INC.
- Practice address
- 910 Sycamore Ave
Suite 270
Vista, CA 92081-7832 - Phone
- (760) 598-1700
- Fax
- (760) 598-1196
- NPI assigned
- Jul 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronald L Smith
- Title
- Coo/Cfo
- Phone
- (760) 598-1700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
910 Sycamore Ave
Suite 270
Vista, CA 92081-7832
Mailing address
910 Sycamore Ave
Suite 270
Vista, CA 92081-7832
Phone (760) 598-1700
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CS9824 | Other | CA | RAILROAD MEDICARE |
| GR0051600 | Medicaid | CA | |
| LAB24971F | Medicaid | CA | |
| ZZZ32969Z | Other | CA | BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
1145 San Marino Dr
Ste 310
San Marcos, CA 92078
Phone (760) 471-8400
910 Sycamore Ave
Ste 220
Vista, CA 92081
Phone (619) 598-4355
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hematology & Oncology Physician
- Encinitas, CA
- NPI 1174595144
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1992732606
-
- Hematology & Oncology Physician
- San Diego, CA
- NPI 1912933326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322611200000",
"number": "1306871306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 SYCAMORE AVE",
"address_2": "SUITE 270",
"city": "VISTA",
"state": "CA",
"postal_code": "920817832",
"telephone_number": "760-598-1700",
"fax_number": "760-598-1196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 SYCAMORE AVE",
"address_2": "SUITE 270",
"city": "VISTA",
"state": "CA",
"postal_code": "920817832",
"telephone_number": "760-598-1700",
"fax_number": "760-598-1196"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL GROUP OF NORTH COUNTY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2011-11-30",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "COO/CFO",
"authorized_official_telephone_number": "760-598-1700"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CS9824",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0051600",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LAB24971F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ32969Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.