Metamedicine Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

METAMEDICINE INC

Practice address

12825 Corbett CT
San Diego, CA 92130-2440

Phone

(909) 527-9608

NPI assigned

Oct 3, 2024

Organization subpart

No

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

Authorized official

Name

Hamoudi FarrajiNPI 1487115317

Title

President

Phone

(909) 527-9608

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Hamoudi Farraji, DO

  • Internal Medicine Physician
  • Palm Springs, CA
  • NPI 1487115317
  Medicare reassignment Care Compare group NPD Authorized official
• Jose Mari Atangan, FNP-C

  • Family Nurse Practitioner
  • Escondido, CA
  • NPI 1427611656
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1386463602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12825 CORBETT CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12825 CORBETT CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302440",
            "telephone_number": "909-527-9608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "FARRAJI",
        "authorized_official_first_name": "HAMOUDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-527-9608"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew F Messoline, M.D.
• Michelle Anne Messom
• Karen Kim Larne Mestan, MD
• Stanley S Mestman, O.D.
• Liesl Johnson Mestre, MS
• Metanoia Group
• Allison Metcalf, MSW, ACSW
• Ashley Metcalf, D.O.
• Gina Marquez Metcalf
• Katherine Eve Metcalf, BS

• Internal Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.