Tri City Immediate Care

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

TRI CITY IMMEDIATE CARE

Practice address

4002 Vista Way
Oceanside, CA 92056-4506

Phone

(760) 439-6581

Fax

(760) 439-6585

NPI assigned

Oct 17, 2005

Organization subpart

No

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

Authorized official

Name

Thomas Shima

Title

Director

Phone

(760) 439-6581

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1922097500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3156 VISTA WAY",
            "address_2": "SUITE 405",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920563622",
            "telephone_number": "760-439-6581",
            "fax_number": "760-439-6585"
        },
        {
            "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": "760-439-6581",
            "fax_number": "760-439-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI CITY IMMEDIATE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "SHIMA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "760-439-6581"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria E Trevino, REGISTERED BEHAVIOR
• Kaila Trezza
• Tri City Cardiology and Arrhythmia Services
• Tri City Coastal Medical Group, Inc
• Tri City Hospital
• Tri City Pulmonary Medical Group
• Tri-City Emergency Medical Group
• Tri-City Emergency Medical Group
• Tri-City Hospital
• Tri-City Hospital

• Specialist in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Specialist in California

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