Dekro, a Medical Corporation, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

DEKRO, A MEDICAL CORPORATION, INC

Practice address

4002 Vista Way
Oceanside, CA 92056-4506

Phone

(760) 439-6581

Fax

(760) 439-6585

NPI assigned

Oct 17, 2005

Organization subpart

No

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

Authorized official

Name

Juan Deza, M.D.NPI 1407846157

Title

Director

Phone

(760) 439-6581

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juan Deza, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • San Diego, CA
  • NPI 1407846157
  NPD (past) Authorized official
• Ken Ray Iwaoka, MD

  • Family Medicine Physician
  • Vista, CA
  • NPI 1346263670
  NPD (past)
• Quoc Tien Tran, MD

  • Family Medicine Physician
  • Santa Clarita, CA
  • NPI 1295895498
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1366431959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3156 VISTA WAY",
            "address_2": "SUITE 405",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920563622",
            "telephone_number": "760-439-6581",
            "fax_number": "760-439-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 VISTA WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564506",
            "telephone_number": "760-439-6581",
            "fax_number": "760-439-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEKRO, A MEDICAL CORPORATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "DEZA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "760-439-6581",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0076060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Max Defrain
• Jemimah Hannah Espa Degala
• Gina Marie Degeorge, PT
• Amanda Lea Dehart, RN
• Norman Deitch, DC
• Del Mar Support Services, LLC
• Melanie L Del Rosario, RN,LVN
• Angelito Dela Cruz, DNP
• Isabel Delarosa
• Carl Delgado, LVN

• Specialist in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.