North Coast Family Medical Group

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G50467 Issued in CA

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

Last updated

Jun 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Craig S Duck, MDNPI 1306808613

Title

Ceo

Phone

(760) 942-0118

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Craig Steven Duck, M.D.

  • Family Medicine Physician
  • Encinitas, CA
  • NPI 1306808613
  Medicare reassignment Care Compare group NPD Authorized official
• Christine Elizabeth Clotfelter, D.O.

  • Family Medicine Physician
  • Encinitas, CA
  • NPI 1831345354
  Medicare reassignment Care Compare group NPD
• Amy Charlotte Kakimoto, MD

  • Family Medicine Physician
  • Encinitas, CA
  • NPI 1790946408
  Medicare reassignment Care Compare group NPD
• Richard Edward Payne, M.D.

  • Family Medicine Physician
  • Encinitas, CA
  • NPI 1841252707
  Medicare reassignment Care Compare group NPD
• Sagar Kamlesh Shah, MD

  • Family Medicine Physician
  • Encinitas, CA
  • NPI 1164780052
  Medicare reassignment Care Compare group NPD
• Brianna Maldonado, PA-C

  • Physician Assistant
  • Encinitas, CA
  • NPI 1326853086
  Medicare reassignment Care Compare group
• Amber McMahon, PA-C

  • Medical Physician Assistant
  • Encinitas, CA
  • NPI 1881713667
  Medicare reassignment Care Compare group
• Julie Elizabeth Morrison, PA-C

  • Physician Assistant
  • Encinitas, CA
  • NPI 1922488733
  Medicare reassignment Care Compare group
• Samantha Duffy Noel, PA-C

  • Physician Assistant
  • Encinitas, CA
  • NPI 1285389601
  Medicare reassignment Care Compare group
• Julie Palmer, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Encinitas, CA
  • NPI 1023140084
  Medicare reassignment Care Compare group
• Ji Shin

  • Physician Assistant
  • Encinitas, CA
  • NPI 1871377960
  Medicare reassignment Care Compare group
• Jin Choi, DO

  • Sports Medicine (Family Medicine) Physician
  • Brentwood, CA
  • NPI 1114330727
  Medicare reassignment NPD

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": []
}

• 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 Medical Pharmacy)
• North Coast Surgical Medical Service Organization
• North Coastal San Diego Licensed Clinical Social Workers, Inc. (North Coast Counseling)
• North County Counseling Associates
• North County Dermatology Center GP

• General Practice Physician in Encinitas, CA
• Providers in Encinitas, CA by specialty
• General Practice Physician in California

• 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.

Verify at the official NPI Registry.