Active NPI
Omar Alejandro Cardona
- Family Medicine Physician
- Oceanside, CA
National Provider Identifier
1831898683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0102208871
- Practice address
- 4153 Nelson Rd
Oceanside, CA 92058 - Phone
- (760) 763-8527
- NPI assigned
- Mar 1, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0102208871 | VA | Primary |
Addresses
Primary practice location
4153 Nelson Rd
Oceanside, CA 92058
Mailing address
9300 Dewitt Loop
Fort Belvoir, VA 22060-5285
Phone (571) 231-0265
Other practice location 1
9300 DeWitt Loop
Fort Belvoir, VA 22060-5285
Phone (571) 231-3224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250313003544 | VA | Order and Referring Only - Family Practice | 0941722409 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102208871 | VA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1831898683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9300 DEWITT LOOP",
"city": "FORT BELVOIR",
"state": "VA",
"postal_code": "220605285",
"telephone_number": "571-231-0265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4153 NELSON RD",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "92058",
"telephone_number": "760-763-8527"
}
],
"practiceLocations": [
{
"address_1": "9300 DeWitt Loop",
"address_purpose": "LOCATION",
"city": "Fort Belvoir",
"state": "VA",
"postal_code": "220605285",
"country_code": "US",
"telephone_number": "571-231-3224",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARDONA",
"first_name": "OMAR",
"middle_name": "ALEJANDRO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-01",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0102208871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, CA
- Bryan Christopher Caplis, SUDRC
- June Christine Cappiello, AMFT, APCC
- Chloe Nicole Carames, OTD, OTR/L
- Allison Marissa Carbone, MS, OTR/L
- Ricardo Jose Cardenas
- Gabriella Cardoza-Favarato, M.D.
- McKinzi Cardwell-Sun, DPT
- Iris N Careno, PEER SPECIALIST
- Caring Staff Solutions, LLC
- Carlsbad Coastal Medical Center, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.