Organization Active NPI

Palomarkln Infusion Center

  • Pain Medicine Physician
  • San Marcos, CA
National Provider Identifier
1336804947
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
PALOMARKLN INFUSION CENTER
Doing business as
Pacific KLN Infusions
Practice address
334 Via Vera Cruz Ste 205
San Marcos, CA 92078-2640
Phone
(760) 276-3323
Fax
(866) 272-1965
NPI assigned
Nov 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Authorized official

Name
Dr. Dustin Coyle, MDNPI 1194777235
Title
Ceo
Phone
(801) 598-1779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

334 Via Vera Cruz Ste 205
San Marcos, CA 92078-2640

Mailing address

1487 Eagle GLN
Escondido, CA 92029-3139
Phone (858) 256-6868

Other names 1

  • Pacific KLN Infusions Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL PalomarKLN@gmail.com

National Provider Directory

National Provider Directory

Locations

106 S Grape St
#12
Escondido, CA 92025

334 Via Vera Cruz
Ste 205
San Marcos, CA 92078
Phone (760) 276-3323

Practitioners & affiliated clinicians

Practitioners 1

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": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1336804947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1487 EAGLE GLN",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920293139",
            "telephone_number": "858-256-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 VIA VERA CRUZ STE 205",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782640",
            "telephone_number": "760-276-3323",
            "fax_number": "866-272-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOMARKLN INFUSION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "COYLE",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-598-1779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PalomarKLN@gmail.com",
            "affiliation": "N",
            "address_1": "106 S Grape St # 12",
            "city": "Escondido",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920254407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pacific KLN Infusions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.