Active NPI
Palomarkln Infusion Center
- Pain Medicine Physician
- San Marcos, CA
National Provider Identifier
1336804947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dustin Coyle, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | PalomarKLN@gmail.com |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Anesthesiology Physician
- San Diego, CA
- NPI 1194777235
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.