Organization Active NPI

Reliable Care MD on the Go

  • Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1467930875
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
RELIABLE CARE MD ON THE GO
Practice address
4565 Ruffner St Ste 201
San Diego, CA 92111-2259
Phone
(619) 718-1743
NPI assigned
Jul 30, 2018
Organization subpart
Yes
Parent organization
RELIABLE CARE MD ON THE GOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Authorized official

Name
Amelia M BuenvenidaNPI 1154777639
Title
Ceo
Phone
(619) 718-1743

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
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

4565 Ruffner St Ste 201
San Diego, CA 92111-2259

Mailing address

4565 Ruffner St Ste 201
San Diego, CA 92111-2259
Phone (619) 718-1743

National Provider Directory

National Provider Directory
Part of
Reliable Care MD on the Go

Locations

4565 Ruffner St
Ste 201
San Diego, CA 92111
Phone (619) 718-1743

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": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1467930875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4565 RUFFNER ST STE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112259",
            "telephone_number": "619-718-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4565 RUFFNER ST STE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112259",
            "telephone_number": "619-718-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE CARE MD ON THE GO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RELIABLE CARE MD ON THE GO",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "BUENVENIDA",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-718-1743"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.