Organization Active NPI

Kevin Lee Metros, M.D.

  • Specialist
  • Escondido, CA
National Provider Identifier
1861650632
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G71444 Issued in CA
Legal business name
KEVIN LEE METROS, M.D.
Practice address
255 N Elm St
Suite 204
Escondido, CA 92025-3431
Phone
(760) 738-7224
Fax
(760) 738-6138
NPI assigned
May 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Mrs. Lynne Frances Metros
Title
Office Manager
Phone
(760) 738-7224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G71444 CA Primary

Addresses

Primary practice location

255 N Elm St
Suite 204
Escondido, CA 92025-3431

Mailing address

PO Box 675398
Rancho Santa Fe, CA 92067-5398
Phone (760) 738-7224

Other identifiers 1

IdentifierTypeStateIssuer
00G7144400MedicaidCA

National Provider Directory

National Provider Directory

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": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1861650632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 675398",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920675398",
            "telephone_number": "760-738-7224",
            "fax_number": "760-738-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N ELM ST",
            "address_2": "SUITE 204",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253431",
            "telephone_number": "760-738-7224",
            "fax_number": "760-738-6138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN LEE METROS, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "METROS",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "760-738-7224",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G71444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G7144400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.