Organization Active NPI

Frederick W Close, MD, Inc

  • Medical Specialty Clinic/Center
  • La Mesa, CA
National Provider Identifier
1447521265
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
C36625 Issued in CA
Legal business name
FREDERICK W CLOSE, MD, INC
Practice address
5565 Grossmont Center Dr
BLDG 3 Ste 156
La Mesa, CA 91942-3020
Phone
(619) 462-0900
Fax
(619) 462-3584
NPI assigned
Jan 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Authorized official

Name
Mrs. Elizabeth A Messina
Title
Office Manager
Phone
(619) 462-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X C36625 CA Primary

Addresses

Primary practice location

5565 Grossmont Center Dr
BLDG 3 Ste 156
La Mesa, CA 91942-3020

Mailing address

5565 Grossmont Center Dr
BLDG 3 Ste 156
La Mesa, CA 91942-3020
Phone (619) 462-0900

National Provider Directory

National Provider Directory

Locations

5565 Grossmont Center Dr
Ste 156
La Mesa, CA 91942
Phone (619) 462-0900

5575 Ruffin Rd
Ste 200
San Diego, CA 92123

Practitioners & affiliated clinicians

Practitioners 2

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": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1447521265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR",
            "address_2": "BLDG 3 STE 156",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423020",
            "telephone_number": "619-462-0900",
            "fax_number": "619-462-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR",
            "address_2": "BLDG 3 STE 156",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423020",
            "telephone_number": "619-462-0900",
            "fax_number": "619-462-3584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK W CLOSE, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "MESSINA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "619-462-0900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "C36625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.