North County Internists Medical Corporation

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

G24300 Issued in CA

Legal business name

NORTH COUNTY INTERNISTS MEDICAL CORPORATION

Practice address

15721 Pomerado Rd
Poway, CA 92064-2021

Phone

(858) 485-7454

NPI assigned

Feb 12, 2007

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

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

Authorized official

Name

Scott Peterson

Title

Cfo

Phone

(858) 625-2990

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• North County Internists, Medical Corp.

  • Internal Medicine Physician
  • Poway, CA
  • NPI 1851489728

  O20050510001252

  Same enrollment

Part of

Tri - State Medical Group Inc

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stuart Douglas Klein, MD

  • Internal Medicine Physician
  • Poway, CA
  • NPI 1104834472
  Medicare reassignment Care Compare group NPD
• Kevin Burton Merkes, MD

  • Internal Medicine Physician
  • Poway, CA
  • NPI 1760578744
  Medicare reassignment Care Compare group NPD
• Akber M Safi, MD

  • Internal Medicine Physician
  • Poway, CA
  • NPI 1215264189
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1790827418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9276 SCRANTON RD",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921217701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15721 POMERADO RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642021",
            "telephone_number": "858-485-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTY INTERNISTS MEDICAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2007-02-12",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "858-625-2990"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "G24300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Norris
• North County Anesthesia Partners
• North County Eye Physicians, Inc (North County Eye Center)
• North County Eye Physicians, Inc
• North County Geriatrics
• North County Internists, Medical Corp.
• North County Neurology Associates Medical Group (North County Neurology Associates)
• North County Ophthalmology Medical Group
• North County Ophthalmology Medical Group, Inc.
• Caroline Norton

• Non-Pharmacy Dispensing Site in Poway, CA
• Providers in Poway, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.

Verify at the official NPI Registry.