Organization Active NPI

Mira Costa Community College District

  • General Practice Physician
  • Oceanside, CA
National Provider Identifier
1538933262
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MIRA COSTA COMMUNITY COLLEGE DISTRICT
Practice address
1 Barnard Dr
Oceanside, CA 92056-3899
Phone
(760) 795-6675
NPI assigned
Nov 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Authorized official

Name
Kimberly MarquardtNPI 1619742251
Title
Director, Health Services
Phone
(760) 795-6676

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

1 Barnard Dr
Oceanside, CA 92056-3899

Mailing address

1 Barnard Dr
Oceanside, CA 92056-3899
Phone (760) 795-6675

Other practice location 1

3333 Manchester Ave
Cardiff, CA 92007-1516
Phone (760) 757-2121 ext. 7747

National Provider Directory

National Provider Directory

Locations

3333 Manchester Ave
Cardiff, CA 92007
Phone 7607572121 ext. 7747

1 Barnard Dr
Oceanside, CA 92056
Phone (760) 757-2121

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": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1538933262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BARNARD DR",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920563899",
            "telephone_number": "760-795-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BARNARD DR",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920563899",
            "telephone_number": "760-795-6675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Manchester Ave",
            "address_purpose": "LOCATION",
            "city": "Cardiff",
            "state": "CA",
            "postal_code": "920071516",
            "country_code": "US",
            "telephone_number": "760-757-2121 x7747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIRA COSTA COMMUNITY COLLEGE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "MARQUARDT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DIRECTOR, HEALTH SERVICES",
        "authorized_official_telephone_number": "760-795-6676"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 22, 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.