Children's Physicians Medical Group

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

CHILDREN'S PHYSICIANS MEDICAL GROUP

Practice address

3860 Calle Fortunada
Suite 210
San Diego, CA 92123-4800

Phone

(858) 309-6270

Fax

(858) 309-6272

NPI assigned

Feb 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Bobbi Gomez

Title

Director - Managed Care

Phone

(858) 309-6280

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659419505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 CALLE FORTUNADA",
            "address_2": "SUITE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234800",
            "telephone_number": "858-309-6270",
            "fax_number": "858-309-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 CALLE FORTUNADA",
            "address_2": "SUITE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234800",
            "telephone_number": "858-309-6270",
            "fax_number": "858-309-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S PHYSICIANS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "BOBBI",
        "authorized_official_title_or_position": "DIRECTOR - MANAGED CARE",
        "authorized_official_telephone_number": "858-309-6280",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Children of the Rainbow Inc
• Children's Dental Health Association of San Diego
• Children's Dental Health Center of San Diego
• Children's Home Healthcare
• Children's Occupational Therapy Services, Inc.
• Children's Primary Care Medical Group, Inc.
• Children's Specialist of San Diego - Div of Derm
• Children's Specialists of San Diego - Div of All&Imm
• Children's Specialists of San Diego - Div of Card
• Children's Specialists of San Diego - Div of CVS

• Health Maintenance Organization in San Diego, CA
• Providers in San Diego, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.