Hom Medical Group Inc

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

A68160 Issued in CA

Legal business name

HOM MEDICAL GROUP INC

Practice address

737 Pearl St
Suite 103
La Jolla, CA 92037-0056

Phone

(858) 456-0008

Fax

(858) 456-2103

NPI assigned

Mar 13, 2007

Last updated

Oct 9, 2007By 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

Dr. Matthew Herbert Hom, MDNPI 1881632081

Title

President

Phone

(858) 507-0909

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

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.

• Matthew Herbert Hom, M.D.

  • Hospitalist Physician
  • San Diego, CA
  • NPI 1881632081
  Medicare reassignment Care Compare group Authorized official
• Jeremy Ray Flowers, N.P.

  • Nurse Practitioner
  • San Diego, CA
  • NPI 1013913045
  Medicare reassignment Care Compare group NPD
• Kirk Anthony Hall, FNP

  • Family Nurse Practitioner
  • San Diego, CA
  • NPI 1710406848
  Medicare reassignment Care Compare group NPD
• Elizabeth Pruett

  • Family Nurse Practitioner
  • San Diego, CA
  • NPI 1659100436
  Medicare reassignment Care Compare group NPD
• Wendy Benwell, PT

  • Physical Therapist
  • La Jolla, CA
  • NPI 1861674640
  NPD (past)
• Eric Bernhard Dahms, M.D.

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1306808464
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1366575169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 881835",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921681835",
            "telephone_number": "858-456-0008",
            "fax_number": "858-456-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 PEARL ST",
            "address_2": "SUITE 103",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920370056",
            "telephone_number": "858-456-0008",
            "fax_number": "858-456-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOM MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "HOM",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "HERBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-507-0909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A68160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Beth Holland, PHARM.D.
• Marian C Holland, MD
• Charles E Hollingsworth, MD
• Emma Jayne Holt
• Eve Butera Holwell, M.D.
• Julie Hom, P.T.
• Blake Eugene Homan
• Pegah Homayoun, L.AC.
• Home Hospice
• Nicole Honey

• Hospitalist Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Hospitalist Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.