San Clemente Medi-Center

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

PA21502 Issued in CA

Legal business name

SAN CLEMENTE MEDI-CENTER

Practice address

4508 Avenida Privado
Oceanside, CA 92057-7735

Phone

(760) 473-0444

NPI assigned

Aug 3, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Darshana Kadakia, MD

Title

Medical Doctor

Phone

(949) 492-4994

Specialties & licenses 1

Addresses

Tax ID family

Rajesh J Kadakia M D a Medical Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rajesh J Kadakia M D a Medical Corporation

  • Emergency Medical Services (Emergency Medicine) Physician
  • San Clemente, CA
  • NPI 1639268139
  NPD tax ID

Practitioners 1

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

• Rajesh Kadakia, MD

  • Emergency Medicine Physician
  • San Clemente, CA
  • NPI 1407975501
  NPD (past)

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1972881241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S EL CAMINO REAL",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724279",
            "telephone_number": "760-473-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4508 AVENIDA PRIVADO",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920577735",
            "telephone_number": "760-473-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN CLEMENTE MEDI-CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-03",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "KADAKIA",
        "authorized_official_first_name": "DARSHANA",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "949-492-4994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "PA21502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph A Samady, M.D.
• Pargol Samani
• Michael R Samko, PHD
• Jose Eligio Samson, NURSE PRACTITIONER
• Octavia Samuel
• San Diego Center for Regenerative Medicine
• San Diego Diagnostic Radiology Medical Group, Inc.
• San Diego Health & Human Services
• San Diego Medical Staffing & Home Healthcare Services, LLC
• San Diego Psychotherapy and Wellness Center Inc.

• All providers in Oceanside, CA
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.