Active NPI
Larson Medical Group, Inc
- Family Medicine Physician
- Del Mar, CA
National Provider Identifier
1679049076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David M Larson, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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.