Organization Active NPI

Ficaremed PC

  • Family Medicine Physician
  • Poway, CA
National Provider Identifier
1336827211
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FICAREMED PC
Practice address
15644 Pomerado Rd Ste 100
Poway, CA 92064-2419
Phone
(858) 485-5111
Fax
(858) 485-6747
NPI assigned
Jul 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Authorized official

Name
Dr. Patrocinia Magat, MD
Title
Owner
Phone
(959) 485-5111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

15644 Pomerado Rd Ste 100
Poway, CA 92064-2419

Mailing address

15644 Pomerado Rd Ste 100
Poway, CA 92064-2419
Phone (858) 485-5111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241105001806 CA Part B Supplier - Clinic/Group Practice 9335673946 Receives reassigned benefits from 2 practitioners
Practice locations: Poway, CA

National Provider Directory

National Provider Directory

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": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1336827211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15644 POMERADO RD STE 100",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642419",
            "telephone_number": "858-485-5111",
            "fax_number": "858-485-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15644 POMERADO RD STE 100",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642419",
            "telephone_number": "858-485-5111",
            "fax_number": "858-485-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FICAREMED PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "MAGAT",
        "authorized_official_first_name": "PATROCINIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "959-485-5111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.