Organization Active NPI

Larson Medical Group, Inc

  • Family Medicine Physician
  • Del Mar, CA
National Provider Identifier
1679049076
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LARSON MEDICAL GROUP, INC
Practice address
1442 Camino del Mar Ste 212
Del Mar, CA 92014-2550
Phone
(760) 634-1704
NPI assigned
Oct 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Authorized official

Name
David M Larson, MDNPI 1609164391
Title
President
Phone
(858) 367-3401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1442 Camino del Mar Ste 212
Del Mar, CA 92014-2550

Mailing address

1042 N El Camino Real Ste B380
Encinitas, CA 92024-1322
Phone (858) 367-3401

National Provider Directory

National Provider Directory

Locations

1442 Camino del Mar
Ste 212
Del Mar, CA 92014
Phone (760) 634-1704

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540252800000",
    "number": "1679049076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 N EL CAMINO REAL STE B380",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241322",
            "telephone_number": "858-367-3401",
            "fax_number": "888-734-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442 CAMINO DEL MAR STE 212",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142550",
            "telephone_number": "760-634-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARSON MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-10-23",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-367-3401",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Mar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.