Active NPI
Pacific Sierra Medical
- Durable Medical Equipment & Medical Supplies
- Poway, CA
National Provider Identifier
1538330998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.