Organization Active NPI

Michael Cutler, M.D., P.C.

  • Primary Care Clinic/Center
  • Poway, CA
National Provider Identifier
1396235271
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A51232 Issued in CA
Legal business name
MICHAEL CUTLER, M.D., P.C.
Practice address
12285 Scripps Poway Pkwy Ste 103
Poway, CA 92064
Phone
(760) 622-2773
Fax
(858) 842-1168
NPI assigned
May 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Michael Cutler, MDNPI 1871620518
Title
Physician/Owner
Phone
(760) 622-2773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A51232 CA Primary

Addresses

Primary practice location

12285 Scripps Poway Pkwy Ste 103
Poway, CA 92064

Mailing address

15904 Dyer LN
San Diego, CA 92127-6195
Phone (760) 622-2773

Other names 1

  • San Diego Mobile Physicians Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180718004241 CA Part B Supplier - Clinic/Group Practice 3678471729 Receives reassigned benefits from 1 practitioner
Practice locations: Escondido, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1396235271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15904 DYER LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921276195",
            "telephone_number": "760-622-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12285 SCRIPPS POWAY PKWY STE 103",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "92064",
            "telephone_number": "760-622-2773",
            "fax_number": "858-842-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL CUTLER, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "CUTLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "760-622-2773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A51232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Diego Mobile Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.