Active NPI
Carlsbad Village Family Practice Medical Associates, Inc
- Family Medicine Physician
- Carlsbad, CA
National Provider Identifier
1376957142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A6683
- Legal business name
- CARLSBAD VILLAGE FAMILY PRACTICE MEDICAL ASSOCIATES, INC
- Practice address
- 2801 Jefferson St
Carlsbad, CA 92008-1720 - Phone
- (760) 729-4952
- Fax
- (760) 729-1518
- NPI assigned
- Jun 19, 2014
- 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
- Mrs. Michelle Lee Jones
- Title
- Office Manager
- Phone
- (760) 729-4952
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A6683 | CA | Primary |
Addresses
Primary practice location
2801 Jefferson St
Carlsbad, CA 92008-1720
Mailing address
2801 Jefferson St
Carlsbad, CA 92008-1720
Phone (760) 729-4952
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0098810 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Carlsbad Village Family Practice Medical Associates Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Carlsbad, CA
- NPI 1972547644
-
- Family Medicine Physician
- Carlsbad, CA
- NPI 1366872681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1403136000000",
"number": "1376957142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 JEFFERSON ST",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920081720",
"telephone_number": "760-729-4952",
"fax_number": "760-729-1518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 JEFFERSON ST",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920081720",
"telephone_number": "760-729-4952",
"fax_number": "760-729-1518"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARLSBAD VILLAGE FAMILY PRACTICE MEDICAL ASSOCIATES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-19",
"last_updated": "2014-06-19",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "760-729-4952",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "20A6683",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0098810",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, CA
- Carlsbad Speech Therapy Inc.
- Carlsbad Surgery Center, LLC
- Carlsbad Unified School District
- Carlsbad Village Family Practice Medical Associates Inc
- Carlsbad Village Family Practice Medical Associates, Inc
- Carlsbad Village Orthodontics
- Carlsbadds Pediatric Smiles
- Gregory Mark Carlson, D.D.S.
- Kathleen Carlson, NP
- Christine Brede Carlton, RDN
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.