NPIMap

Organization Active NPI

Primary Care Center of North County, Apc

  • Primary Care Clinic/Center
  • Poway, CA
National Provider Identifier
1992096630
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PRIMARY CARE CENTER OF NORTH COUNTY, APC
Practice address
13525 Midland Rd Ste F
Poway, CA 92064-4772
Phone
(858) 486-9100
Fax
(858) 486-9101
NPI assigned
Apr 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Authorized official

Name
Ms. Silvia Susana Grindle, PA-CNPI 1598056392
Title
Secretary/Treasurer
Phone
(858) 335-4012

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

13525 Midland Rd Ste F
Poway, CA 92064-4772

Mailing address

13525 Midland Rd Ste F
Poway, CA 92064-4772
Phone (858) 486-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110922000152 CA Part B Supplier - Clinic/Group Practice 8123299252 Receives reassigned benefits from 4 practitioners
Practice locations: Poway, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540944000000",
    "number": "1992096630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13525 MIDLAND RD STE F",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644772",
            "telephone_number": "858-486-9100",
            "fax_number": "858-486-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13525 MIDLAND RD STE F",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644772",
            "telephone_number": "858-486-9100",
            "fax_number": "858-486-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE CENTER OF NORTH COUNTY, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2018-10-31",
        "status": "A",
        "authorized_official_last_name": "GRINDLE",
        "authorized_official_first_name": "SILVIA",
        "authorized_official_middle_name": "SUSANA",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "858-335-4012",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.