NPIMap

Organization Active NPI

Culture of Life Family Services

  • Primary Care Clinic/Center
  • Escondido, CA
National Provider Identifier
1679160931
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CULTURE OF LIFE FAMILY SERVICES
Practice address
362 W Mission Ave Ste 105
Escondido, CA 92025-1738
Phone
(760) 741-1224
Fax
(760) 741-7010
NPI assigned
Dec 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Maricar Gagucas, MBA
Title
General Manager
Phone
(619) 518-8072

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

362 W Mission Ave Ste 105
Escondido, CA 92025-1738

Mailing address

362 W Mission Ave Ste 105
Escondido, CA 92025-1738
Phone (760) 741-1224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230811003197 CA Part B Supplier - Clinic/Group Practice 3779945498 Receives reassigned benefits from 6 practitioners
Practice locations: Escondido, CA

National Provider Directory

National Provider Directory

Locations

3750 Convoy St
Ste 118
San Diego, CA 92111
Phone (619) 337-8080

Practitioners & affiliated clinicians

Practitioners 8

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": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1679160931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 W MISSION AVE STE 105",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920251738",
            "telephone_number": "760-741-1224",
            "fax_number": "760-741-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 W MISSION AVE STE 105",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920251738",
            "telephone_number": "760-741-1224",
            "fax_number": "760-741-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTURE OF LIFE FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "GAGUCAS",
        "authorized_official_first_name": "MARICAR",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "619-518-8072",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.