NPIMap

Organization Active NPI

Tri-City Emergency Medical Group

  • Emergency Medicine Physician
  • Oceanside, CA
National Provider Identifier
1922087527
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
TRI-CITY EMERGENCY MEDICAL GROUP
Practice address
4002 Vista Way
Oceanside, CA 92056-4506
Phone
(760) 940-3808
NPI assigned
Jan 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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

Authorized official

Name
Michael Forman, M.D.
Title
Managing Partner for Business Affai
Phone
(760) 439-1963

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

4002 Vista Way
Oceanside, CA 92056-4506

Mailing address

5050 Avenida Encinas
Suite 200
Carlsbad, CA 92008-4381
Phone (760) 439-1963

National Provider Directory

National Provider Directory

Locations

5050 Avenida Encinas
Ste 200
Carlsbad, CA 92008
Phone (760) 439-1963

Practitioners & affiliated clinicians

Practitioners 10

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": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1922087527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 AVENIDA ENCINAS",
            "address_2": "SUITE 200",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920084381",
            "telephone_number": "760-439-1963",
            "fax_number": "760-268-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 VISTA WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564506",
            "telephone_number": "760-940-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITY EMERGENCY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "FORMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING PARTNER FOR BUSINESS AFFAI",
        "authorized_official_telephone_number": "760-439-1963",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.