Organization Active NPI

Pacific Sierra Medical

  • Durable Medical Equipment & Medical Supplies
  • Poway, CA
National Provider Identifier
1538330998
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PACIFIC SIERRA MEDICAL
Practice address
14456 Kentfield PL
Poway, CA 92064-3360
Phone
(858) 568-3454
NPI assigned
Mar 13, 2008
Last updated
Oct 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Authorized official

Name
Dr. Foluke Yetunde Jose, MD,MBA
Title
Director
Phone
(858) 568-3454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

14456 Kentfield PL
Poway, CA 92064-3360

Mailing address

1130 E Pennsylvania Ave
Escondido, CA 92025-3209
Phone (858) 568-3454

National Provider Directory

National Provider Directory

Locations

1130 E Pennsylvania Ave
Escondido, CA 92025

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1538330998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 E PENNSYLVANIA AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253209",
            "telephone_number": "858-568-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14456 KENTFIELD PL",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920643360",
            "telephone_number": "858-568-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SIERRA MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "JOSE",
        "authorized_official_first_name": "FOLUKE",
        "authorized_official_middle_name": "YETUNDE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "858-568-3454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD,MBA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.