David C Medway, MD

Key facts

NPI

1689609687

Entity type

Individual (NPI type 1)

Primary specialty

Internal Medicine Physician 207R00000X

License

G79336 (CA)

Practice address

6572 Camino del Rey
Bonsall, CA 92003-4511

Phone

(818) 342-0215

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

Yes

Organizations & group practices 5

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

• Centro de Salud de la Comunidad de San Ysidro, Inc. Federally Qualified Health Center (FQHC) · San Diego, CA · NPI 1124782685
  Medicare reassignment NPD CA
• Neighborhood Healthcare Federally Qualified Health Center (FQHC) · Escondido, CA · NPI 1598703647
  Medicare reassignment NPD CA
• Centro de Salud de la Comunidad de San Ysidro Inc Federally Qualified Health Center (FQHC) · San Diego, CA · NPI 1457033813
  NPD
• Centro de Salud de la Comunidad de San Ysidro, Inc. Federally Qualified Health Center (FQHC) · National City, CA · NPI 1598907487
  NPD
• Neighborhood Healthcare Federally Qualified Health Center (FQHC) · Beaumont, CA · NPI 1629601653
  NPD

Medicare Care Compare profile

Specialty

Internal Medicine

Education

George Washington University School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neighborhood Healthcare (153 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles (5 of 6)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 4, 2021.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1689609687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6572 CAMINO DEL REY",
            "city": "BONSALL",
            "state": "CA",
            "postal_code": "920034511",
            "telephone_number": "818-342-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6572 CAMINO DEL REY",
            "city": "BONSALL",
            "state": "CA",
            "postal_code": "920034511",
            "telephone_number": "818-342-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDWAY",
        "first_name": "DAVID",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G79336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Bonsall, CA · Internal Medicine Physician in California