Fallbrook Medical Group, Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G36388 Issued in CA

Legal business name

FALLBROOK MEDICAL GROUP, INC

Doing business as

Fallbrook Medical Associates

Practice address

504 E Alvarado St Ste 201
Fallbrook, CA 92028-2364

Phone

(760) 731-0352

Fax

(760) 731-2151

NPI assigned

Feb 16, 2007

Last updated

Sep 11, 2025By 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

Mrs. Barbara Gordon

Title

Practice Administrator

Phone

(760) 731-0352

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Fallbrook Medical Associates Doing business as

Locations

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1457495046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 E ALVARADO ST STE 201",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920282364",
            "telephone_number": "760-731-0352",
            "fax_number": "760-731-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 E ALVARADO ST STE 201",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920282364",
            "telephone_number": "760-731-0352",
            "fax_number": "760-731-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLBROOK MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "760-731-0352",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G23092",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C36017",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G36388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR00666880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fallbrook Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fallbrook Hospital District (Fallbrook Hospital)
• Fallbrook Hospital District (Fallbrook Hospital Hospice)
• Fallbrook Hospital District (Fallbrook Hospital)
• Fallbrook Imaging Center Inc
• Fallbrook Medical Center, Inc
• Fallbrook Pediatrics, Apc
• Fallbrook Pharmacy Inc II
• Fallbrook Podiatry, Inc
• Fallbrook Spine Center
• Fallbrook Union Elementary School District

• Pediatrics Physician in Fallbrook, CA
• Providers in Fallbrook, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.