NPIMap

Organization Active NPI

Rancho Family Medical Group, Inc.

  • Family Medicine Physician
  • Chula Vista, CA
National Provider Identifier
1750106258
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RANCHO FAMILY MEDICAL GROUP, INC.
Practice address
263 Church Ave
Chula Vista, CA 91910-2728
Phone
(619) 422-1324
NPI assigned
Nov 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
R. Eric Madrid
Title
Chief Medical Officer
Phone
(951) 676-4193

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

263 Church Ave
Chula Vista, CA 91910-2728

Mailing address

41923 2ND St Ste 204
Temecula, CA 92590-2833

Other names 1

  • Padilla Family Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rancho Family Medical G5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1750106258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41923 2ND ST STE 204",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 CHURCH AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102728",
            "telephone_number": "619-422-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO FAMILY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "MADRID",
        "authorized_official_first_name": "R.",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "951-676-4193"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Padilla Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.