Pacific Coastal Medical Group Professional Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PACIFIC COASTAL MEDICAL GROUP PROFESSIONAL CORPORATION

Practice address

960 W San Marcos Blvd Ste 210
San Marcos, CA 92078-1147

Phone

(760) 290-4309

NPI assigned

Aug 12, 2025

Organization subpart

No

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

Authorized official

Name

Deanna Oliver, MDNPI 1750725362

Title

Owner

Phone

(760) 290-4309

Specialties & licenses 1

Addresses

Practitioners 1

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

• Deanna Oliver, MD

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1750725362
  NPD Authorized official

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1679459077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604B EL CAMINO REAL UNIT 340",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081214",
            "telephone_number": "760-290-4309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 W SAN MARCOS BLVD STE 210",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920781147",
            "telephone_number": "760-290-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COASTAL MEDICAL GROUP PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-290-4309",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanice Maureen Ortiz
• Jose Ortiz II
• Nima Osgo, PHARM D
• Diana Osman
• Kelsi Mikayla Otto
• Pacific Mobility Center, Inc
• Pacifica L 24 LLC
• Lindsay Pack
• Angela Padilla
• Mariana Sarai Padron

• Internal Medicine Physician in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.