Organization Active NPI

Mobile Care Medical Providers

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1891495149
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MOBILE CARE MEDICAL PROVIDERS
Practice address
2801 Camino del Rio S # 204-1
San Diego, CA 92108-3800
Phone
(619) 677-2788
Fax
(619) 677-2799
NPI assigned
Mar 6, 2023
Last updated
Dec 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Blanca Cardenas, DNPNPI 1003133984
Title
Ceo
Phone
(760) 403-5290

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2801 Camino del Rio S # 204-1
San Diego, CA 92108-3800

Mailing address

1375 Oakpoint Ave
Chula Vista, CA 91913-2953
Phone (760) 403-5290

National Provider Directory

National Provider Directory

Locations

1741 Eastlake Pkwy
#201305
Chula Vista, CA 91915

2801 Camino del Rio S
#2041
San Diego, CA 92108
Phone (619) 677-2788

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1891495149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 OAKPOINT AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919132953",
            "telephone_number": "760-403-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 CAMINO DEL RIO S # 204-1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083800",
            "telephone_number": "619-677-2788",
            "fax_number": "619-677-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE CARE MEDICAL PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "CARDENAS",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-403-5290",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.