Organization Active NPI

Jill S Cottell M D a Professional Corporation

  • Primary Care Clinic/Center
  • Poway, CA
National Provider Identifier
1588844385
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A65247 Issued in CA
Legal business name
JILL S COTTELL M D A PROFESSIONAL CORPORATION
Practice address
15644 Pomerado Rd
Suite 400
Poway, CA 92064-2400
Phone
(858) 312-1672
Fax
(858) 912-6421
NPI assigned
Nov 8, 2007
Last updated
Dec 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Authorized official

Name
Dr. Jill Cottel
Title
Owner/Provider
Phone
(858) 312-1672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A65247 CA Primary

Addresses

Primary practice location

15644 Pomerado Rd
Suite 400
Poway, CA 92064-2400

Mailing address

15644 Pomerado Rd
Ste 400
Poway, CA 92064-2400
Phone (858) 312-1672

National Provider Directory

National Provider Directory

Locations

12630 Monte Vista Rd
Poway, CA 92064
Phone (619) 485-5921

12630 Monte Vista Rd
Ste 209
Poway, CA 92064
Phone (858) 312-1672

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1588844385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15644 POMERADO RD",
            "address_2": "STE 400",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642400",
            "telephone_number": "858-312-1672",
            "fax_number": "858-912-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15644 POMERADO RD",
            "address_2": "SUITE 400",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642400",
            "telephone_number": "858-312-1672",
            "fax_number": "858-912-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL S COTTELL M D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "COTTEL",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "858-312-1672",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A65247",
            "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 Dec 16, 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.