Advanced Clinical Research Center

Primary specialty

Research Clinic/CenterTaxonomy code 261QR1100X

Legal business name

ADVANCED CLINICAL RESEARCH CENTER

Practice address

6280 Jackson Dr Ste 4
San Diego, CA 92119-3436

Phone

(619) 439-2018

Fax

(619) 439-7969

NPI assigned

Mar 2, 2022

Organization subpart

No

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

Authorized official

Name

Leonardo Cortes

Title

Site Director

Phone

(760) 889-7307

Specialties & licenses 1

Addresses

Electronic endpoints 3

Locations

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1710634431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6280 JACKSON DR STE 4",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921193436",
            "telephone_number": "619-439-2018",
            "fax_number": "619-439-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 JACKSON DR STE 4",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921193436",
            "telephone_number": "619-439-2018",
            "fax_number": "619-439-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CLINICAL RESEARCH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-02-27",
        "status": "A",
        "authorized_official_last_name": "CORTES",
        "authorized_official_first_name": "LEONARDO",
        "authorized_official_title_or_position": "SITE DIRECTOR",
        "authorized_official_telephone_number": "760-889-7307"
    },
    "taxonomies": [
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Www.advancedcrc.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6280 Jackson Dr Ste 4",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921193436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Www.advancedcrc.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6280 Jackson Dr Ste 4",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921193436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.advancedcrc.com",
            "affiliation": "N",
            "address_1": "6280 Jackson Dr Ste 4",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921193436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Research Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Research Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.