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ADEMA FAMILY MEDICINE INC NPI 1043497316


NPI Information

NPI: 1043497316
Provider Name: ADEMA FAMILY MEDICINE, INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D1078437

Address:
10201 MISSION GORGE RD STE C
SANTEE, CA
ZIP 92071
Phone: (619) 596-5445
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ADEMA FAMILY MEDICINE, INC is a family medicine in Santee, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ADEMA FAMILY MEDICINE, INC NPI is 1043497316. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10201 MISSION GORGE RD STE C
SANTEE, CA
ZIP 92071-026
Phone: (619) 596-5445
Fax: (619) 596-6923

The provider's authorized official is Donald S Adema .
The authorized official title is Ceo and has the following contact phone number (619) 596-5445.

The CLIA number assigned to this NPI record is 05D1078437 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/29/2008 and was last updated on 1/29/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine20A6239CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12OA6239OTHERCALIFORNIASTATE LICENSE CA
2F48538MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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