Organization Active NPI

Dr. Sarpoma MD Inc

Doing business as Veteran Medical Group

  • General Practice Physician
  • Oceanside, CA
National Provider Identifier
1528749751
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DR. SARPOMA MD INC
Doing business as
Veteran Medical Group
Practice address
2420 Vista Way Ste 102
Oceanside, CA 92054-6190
Phone
(619) 202-5663
NPI assigned
Jul 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Authorized official

Name
Dr. Mamie Sarpoma Sefa-Boakye, MDNPI 1194067215
Title
Medical Director and Ceo
Phone
(909) 210-6138

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
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2420 Vista Way Ste 102
Oceanside, CA 92054-6190

Mailing address

211 Brooks St Unit 1545
Oceanside, CA 92051-7024
Phone (619) 202-5663

Other names 1

  • Veteran Medical Group Doing business as

National Provider Directory

National Provider Directory

Locations

2420 Vista Way
Ste 102
Oceanside, CA 92054
Phone (442) 333-7769

211 Brooks St
Unit 1545
Oceanside, CA 92051

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": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1528749751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 BROOKS ST UNIT 1545",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920517024",
            "telephone_number": "619-202-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 VISTA WAY STE 102",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546190",
            "telephone_number": "619-202-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SARPOMA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-30",
        "status": "A",
        "authorized_official_last_name": "SEFA-BOAKYE",
        "authorized_official_first_name": "MAMIE",
        "authorized_official_middle_name": "SARPOMA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR AND CEO",
        "authorized_official_telephone_number": "909-210-6138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Veteran Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.