NPIMap

Organization Active NPI

Neighborhood Healthcare

  • General Practice Physician
  • Escondido, CA
National Provider Identifier
1629254545
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
NEIGHBORHOOD HEALTHCARE
Practice address
641 E Pennsylvania Ave Ste 102
Escondido, CA 92025-3047
Phone
(760) 520-8200
Fax
(760) 737-5490
NPI assigned
Jan 10, 2008
Last updated
May 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Tracy Ream
Title
Ceo
Phone
(760) 520-8375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

641 E Pennsylvania Ave Ste 102
Escondido, CA 92025-3047

Mailing address

425 N Date St
Escondido, CA 92025-3413
Phone (760) 737-2035

Other identifiers 1

IdentifierTypeStateIssuer
FHC70608FMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Neighborhood Healthcare40 organizations share this tax ID, including this one

Other organizations with this tax ID 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

Locations

641 E Pennsylvania Ave
Ste 102
Escondido, CA 92025
Phone (760) 520-8200

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1629254545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N DATE ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253413",
            "telephone_number": "760-737-2035",
            "fax_number": "760-520-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 E PENNSYLVANIA AVE STE 102",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253047",
            "telephone_number": "760-520-8200",
            "fax_number": "760-737-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "REAM",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-520-8375"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70608F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.