Universal Care Medical Group, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

UNIVERSAL CARE MEDICAL GROUP, INC.

Practice address

4863 El Cajon Blvd
#A
San Diego, CA 92115-4636

Phone

(619) 286-9000

Fax

(619) 286-9004

NPI assigned

Oct 5, 2007

Organization subpart

No

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

Authorized official

Name

Kefah Dwabe, M.D.NPI 1477656049

Title

C.E.O.

Phone

(619) 286-9000

Specialties & licenses 2

Addresses

Other names 1

• none Other name

Locations

Practitioners 1

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

• Kefah T. Dwabe, MD

  • General Practice Physician
  • San Diego, CA
  • NPI 1477656049
  NPD (past) Authorized official

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1932397718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4863 EL CAJON BLVD",
            "address_2": "#A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154636",
            "telephone_number": "619-286-9000",
            "fax_number": "619-286-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4863 EL CAJON BLVD",
            "address_2": "#A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154636",
            "telephone_number": "619-286-9000",
            "fax_number": "619-286-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL CARE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "DWABE",
        "authorized_official_first_name": "KEFAH",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "619-286-9000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Universal Netsolutions LLC
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• University Adult Day Health Care Inc
• University City Physical Therapy

• General Practice Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.