Active NPI
Community Access Clinic
- Internal Medicine Physician
- National City, CA
National Provider Identifier
1699549311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- COMMUNITY ACCESS CLINIC
- Practice address
- 502 Euclid Ave Ste 302
National City, CA 91950-2995 - Phone
- (619) 310-3633
- NPI assigned
- Nov 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeremie Michael Meyers
- Title
- Administrator
- Phone
- (619) 310-3633
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
502 Euclid Ave Ste 302
National City, CA 91950-2995
Mailing address
502 Euclid Ave Ste 302
National City, CA 91950-2995
Phone (619) 310-3633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Oceanside, CA
- NPI 1043359219
-
- Community Health Worker
- San Diego, CA
- NPI 1922814961
-
- Family Nurse Practitioner
- San Diego, CA
- NPI 1922829472
-
- Cardiovascular Disease Physician
- Chula Vista, CA
- NPI 1336378371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750204800000",
"number": "1699549311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 EUCLID AVE STE 302",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919502995",
"telephone_number": "619-310-3633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 EUCLID AVE STE 302",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919502995",
"telephone_number": "619-310-3633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY ACCESS CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-13",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A",
"authorized_official_last_name": "MEYERS",
"authorized_official_first_name": "JEREMIE",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "619-310-3633"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in National City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.