Individual provider Active NPI

Loren Novak, D.O.

  • Family Medicine Physician
  • Vista, CA
National Provider Identifier
1689601270
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A6868 Issued in CA
Practice address
1926 Via Ctr
Vista, CA 92081-6056
Phone
(760) 598-1700
Fax
(760) 598-1196
NPI assigned
Jun 27, 2006
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A6868 CA Primary

Addresses

Primary practice location

1926 Via Ctr
Vista, CA 92081-6056

Mailing address

1926 Via Ctr Ste a
Vista, CA 92081-6056
Phone (760) 940-7000

Other identifiers 1

IdentifierTypeStateIssuer
P02177118OtherCARAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050512001071 CA Practitioner - Family Practice 7517908296 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tri-City Primary Care Medical Group IncGroup PAC ID 3870810823, 8 clinicians

Practice addresses (Care Compare)

1926 Via Ctr
Suite a
Vista, CA 92081-6056
Phone (760) 940-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A6868CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-City Primary Care Medical Group, Inc CurrentSince Nov 6, 2013 Accepting new patients
Italian Maple Holdings, LLC Past Accepting new patients
UC San Diego Health Community Group Past Accepting new patients
Tri-City Hospital Past Accepting new patients
Scripps Health Family Medicine Past Accepting new patients

Locations

6185 Paseo del Norte
Ste 100
Carlsbad, CA 92011
Phone (714) 272-1600

3232 Thunder Dr
Oceanside, CA 92056
Phone (760) 724-2193

1926 Via Ctr
Vista, CA 92081
Phone (760) 828-2949

1926 Via Ctr
#A
Vista, CA 92081
Phone (760) 940-7000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/6f6fa04d-6294-46cb-a755-92fcf4395ad8/
  • Direct secure messaging: loren.novak@tricityprimarycare.cernerdirect.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
La Paloma Healthcare CenterOceanside, CA, CCN 055335 Skilled nursing facility Contracted Managing Employee Sep 1, 2021
Pacific Villas Post AcuteOceanside, CA, CCN 555934 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
May 1, 2024
May 1, 2024
Silverado Hospice - San DiegoSan Diego, CA, CCN 551522 Hospice Contracted Managing Employee Jan 1, 2007

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1689601270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 VIA CTR STE A",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816056",
            "telephone_number": "760-940-7000",
            "fax_number": "760-940-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 VIA CTR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816056",
            "telephone_number": "760-598-1700",
            "fax_number": "760-598-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "LOREN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P02177118",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.