Organization Active NPI

Medical Group of North County, Inc.

  • Internal Medicine Physician
  • Vista, CA
National Provider Identifier
1306871306
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Nov 30, 2011

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
CS9824OtherCARAILROAD MEDICARE
GR0051600MedicaidCA
LAB24971FMedicaidCA
ZZZ32969ZOtherCABLUE SHIELD

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.