NPIMap

Organization Active NPI

Lawrence J. Schlitt M.D., a Professional Medical Corp.

  • Preferred Provider Organization
  • San Diego, CA
National Provider Identifier
1508975202
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
1946478 Issued in CA
Legal business name
LAWRENCE J. SCHLITT M.D., A PROFESSIONAL MEDICAL CORP.
Practice address
12395 El Camino Real Ste 120
San Diego, CA 92130-3083
Phone
(858) 793-2727
Fax
(858) 793-2650
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Authorized official

Name
Dr. Joseph M Quadros
Title
Office Manager
Phone
(858) 793-2727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 1946478 CA Primary

Addresses

Primary practice location

12395 El Camino Real Ste 120
San Diego, CA 92130-3083

Mailing address

12395 El Camino Real Ste 120
San Diego, CA 92130-3083
Phone (858) 793-2727

Other names 1

  • Del Mar Family Practice Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1508975202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12395 EL CAMINO REAL STE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303083",
            "telephone_number": "858-793-2727",
            "fax_number": "858-793-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12395 EL CAMINO REAL STE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303083",
            "telephone_number": "858-793-2727",
            "fax_number": "858-793-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE J. SCHLITT M.D., A PROFESSIONAL MEDICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "QUADROS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "858-793-2727",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "1946478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Del Mar Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 3, 2010; 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.