Organization Active NPI

Ca Medical Group-Da, PC

  • Internal Medicine Physician
  • Encinitas, CA
National Provider Identifier
1689472284
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CA MEDICAL GROUP-DA, PC
Practice address
317 N El Camino Real Ste 301
Encinitas, CA 92024-2814
Phone
(757) 646-5047
Fax
(760) 230-1744
NPI assigned
Mar 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Farris Sandhu, MDNPI 1740357581
Title
Physician / Owner
Phone
(757) 646-5047

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

317 N El Camino Real Ste 301
Encinitas, CA 92024-2814

Mailing address

317 N El Camino Real Ste 301
Encinitas, CA 92024-2814
Phone (757) 646-5047

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250507003289 CA Part B Supplier - Clinic/Group Practice 7416474952 Receives reassigned benefits from 1 practitioner
Practice locations: Encinitas, CA

National Provider Directory

National Provider Directory

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": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1689472284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 N EL CAMINO REAL STE 301",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242814",
            "telephone_number": "757-646-5047",
            "fax_number": "760-230-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N EL CAMINO REAL STE 301",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242814",
            "telephone_number": "757-646-5047",
            "fax_number": "760-230-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CA MEDICAL GROUP-DA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "SANDHU",
        "authorized_official_first_name": "FARRIS",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "757-646-5047",
        "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": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.