Active NPI
North Coast Family Medical Group
- General Practice Physician
- Encinitas, CA
National Provider Identifier
1356569834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- G50467
- Legal business name
- NORTH COAST FAMILY MEDICAL GROUP
- Practice address
- 477 N. El Camino Real
A306
Encinitas, CA 92024-1350 - Phone
- (760) 942-0118
- Fax
- (760) 942-5319
- NPI assigned
- Apr 23, 2007
- 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
- Craig S Duck, MD
- Title
- Ceo
- Phone
- (760) 942-0118
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | G50467 | CA | Primary |
Addresses
Primary practice location
477 N. El Camino Real
A306
Encinitas, CA 92024-1350
Mailing address
477 N. El Camino Real
A306
Encinitas, CA 92024-1350
Phone (760) 942-0118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0566594 | North Coast Family Medical Group, Inc | Provider-performed microscopy | Aug 6, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 17
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Encinitas, CA
- NPI 1306808613
-
- Family Medicine Physician
- Encinitas, CA
- NPI 1831345354
-
- Family Medicine Physician
- Encinitas, CA
- NPI 1790946408
-
- Family Medicine Physician
- Encinitas, CA
- NPI 1841252707
-
- Family Medicine Physician
- Encinitas, CA
- NPI 1164780052
-
- Physician Assistant
- Encinitas, CA
- NPI 1326853086
-
- Medical Physician Assistant
- Encinitas, CA
- NPI 1881713667
-
- Physician Assistant
- Encinitas, CA
- NPI 1922488733
-
- Physician Assistant
- Encinitas, CA
- NPI 1285389601
-
- Physician Assistant
- Encinitas, CA
- NPI 1023140084
-
- Physician Assistant
- Encinitas, CA
- NPI 1871377960
-
- Sports Medicine (Family Medicine) Physician
- Brentwood, CA
- NPI 1114330727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1403136000000",
"number": "1356569834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "477 N. EL CAMINO REAL",
"address_2": "A306",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920241350",
"telephone_number": "760-942-0118",
"fax_number": "760-942-5319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "477 N. EL CAMINO REAL",
"address_2": "A306",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920241350",
"telephone_number": "760-942-0118",
"fax_number": "760-942-5319"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH COAST FAMILY MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-23",
"last_updated": "2014-06-19",
"status": "A",
"authorized_official_last_name": "DUCK",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "760-942-0118",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "CA",
"license": "G50467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encinitas, CA
- Karen M Norgaard, PT
- North Coast Audiology
- North Coast Cardiology, Inc.
- North Coast Center
- North Coast Dermatology Medical Associates
- North Coast Medical Pharmacy Inc
- North Coast Surgical Medical Service Organization
- North Coastal San Diego Licensed Clinical Social Workers, Inc.
- North County Counseling Associates
- North County Dermatology Center GP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.