Active NPI
Jon G Pace, M.D., Apc
- Anesthesiology Physician
- Encinitas, CA
National Provider Identifier
1316039662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A68757
- Legal business name
- JON G PACE, M.D., APC
- Practice address
- 354 Santa Fe Dr
Encinitas, CA 92024-5142 - Phone
- (800) 883-7243
- NPI assigned
- Sep 28, 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
- Dr. Jon G Pace, M.D.
- Title
- President
- Phone
- (800) 883-7243
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A68757 | CA | Primary |
Addresses
Primary practice location
354 Santa Fe Dr
Encinitas, CA 92024-5142
Mailing address
210 N Tustin Ave
Santa Ana, CA 92705-3807
Phone (800) 883-7243
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245291244 | Other | NPI TYPE - 1 | |
| 00A687570 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1316039662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 N TUSTIN AVE",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053807",
"telephone_number": "800-883-7243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 SANTA FE DR",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920245142",
"telephone_number": "800-883-7243"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JON G PACE, M.D., APC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PACE",
"authorized_official_first_name": "JON",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "800-883-7243",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CA",
"license": "A68757",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI TYPE - 1",
"identifier": "1245291244",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A687570",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Encinitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.