Active NPI
Jill S Cottell M D a Professional Corporation
- Primary Care Clinic/Center
- Poway, CA
National Provider Identifier
1588844385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- A65247
- 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, 2010
- 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. Jill Cottel
- Title
- Owner/Provider
- Phone
- (858) 312-1672
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- Jami Jennings, MA, PPS CREDENTIAL
- Tamrah Jennings, FNP-C
- Jenny Raz Licensed Clinical Social Worker
- Jill Cottel MD, in. (Poway Integrative Medicine Center)
- Jill D. Paisley, Professional Chiropractic Corporation
- Priscilla Jimenez
- Silberio Jimenez
- Nallely Jiminez
- Jinhyun Cho, D.D.S., Inc.
- Jodi a McGrady DMD, Ms, Adc (McGrady Dental Group)
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.