J Pace MD a Professional Corporation

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

J PACE MD A PROFESSIONAL CORPORATION

Practice address

1310 Hygeia Ave
Encinitas, CA 92024-1621

Phone

(480) 266-9972

NPI assigned

Oct 1, 2019

Organization subpart

No

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

Authorized official

Name

Jon Pace, MDNPI 1245291244

Title

President

Phone

(480) 266-9972

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Jon Glenn Pace, M.D.

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1245291244

  CA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1841831849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34120",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895334120",
            "telephone_number": "775-747-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 HYGEIA AVE",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241621",
            "telephone_number": "480-266-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J PACE MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-266-9972",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel David, DDS, Apc
• Affaf Ismail, D.D.S.
• Srinivas Iyengar, MD
• Katherine Izzo-Andujar, FNP
• J Maroon DDS Inc (Encinitas Dental Center)
• J Roland Fleck (Encinitas Psychological Services)
• J Schaefer DDS Inc (Beam Orthodontics)
• J. Patrick Davis & Matthew Davis (Davis Pediatric Dentistry)
• Jack Mawer (Encinitas Chiropractic)
• Melissa Jacka, PT

• Anesthesiology Physician in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.