NPIMap

Organization Active NPI

Carlsbad Family Medicine

  • Clinic/Center
  • Carlsbad, CA
National Provider Identifier
1780154864
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CARLSBAD FAMILY MEDICINE
Practice address
2808 Roosevelt St Ste 100
Carlsbad, CA 92008-1688
Phone
(760) 688-0411
Fax
(760) 645-6385
NPI assigned
Nov 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2018

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

Authorized official

Name
Dr. Jeffrey Keith Pearson, DO
Title
President
Phone
(760) 688-0411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2808 Roosevelt St Ste 100
Carlsbad, CA 92008-1688

Mailing address

2808 Roosevelt St Ste 100
Carlsbad, CA 92008-1688
Phone (760) 688-0411

Other names 1

  • Medicine in Motion Doing business as

National Provider Directory

National Provider Directory

Locations

2808 Roosevelt St
Ste 100
Carlsbad, CA 92008
Phone (760) 688-0411

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543536000000",
    "number": "1780154864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 ROOSEVELT ST STE 100",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081688",
            "telephone_number": "760-688-0411",
            "fax_number": "760-645-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 ROOSEVELT ST STE 100",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081688",
            "telephone_number": "760-688-0411",
            "fax_number": "760-645-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLSBAD FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-11-30",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-688-0411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine in Motion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; 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.