Medplus a Medical Corporation

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MEDPLUS A MEDICAL CORPORATION

Practice address

617 E Alvarado St
Fallbrook, CA 92028

Phone

(951) 397-4240

NPI assigned

Mar 19, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Graydon W Skeoch, MDNPI 1558327387

Title

President

Phone

(951) 397-4240

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Graydon W Skeoch, MD

  • Emergency Medicine Physician
  • Fallbrook, CA
  • NPI 1558327387
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1629572425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43525 CALLE DE VELARDO",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922628",
            "telephone_number": "951-397-4240",
            "fax_number": "760-451-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 E ALVARADO ST",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "92028",
            "telephone_number": "951-397-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPLUS A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "SKEOCH",
        "authorized_official_first_name": "GRAYDON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-397-4240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John F. McGuire, MD
• Rhonda C. McMichael, OTR/L,HTC & PAM
• Katherine McNeil, RN MSN PHN CSN
• Me Pivot Holdings, LLC
• Medical Laboratory Services Medical Group, Inc.
• Abigail Leigh Melschau, ASW
• Samuel Mendoza Jr., MA, BA, AA
• Mental Health Systems, Inc.
• Mental Health Systems, Inc.
• MGF Surgery, AMC

• Urgent Care Clinic/Center in Fallbrook, CA
• Providers in Fallbrook, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.