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CASSIDY MEDICAL GROUP - CSB NPI 1457427668


NPI Information

NPI: 1457427668
Provider Name: CASSIDY MEDICAL GROUP - CSB
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
2562 STATE ST STE D
CARLSBAD, CA
ZIP 92008
Phone: (760) 729-7186
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CASSIDY MEDICAL GROUP - CSB is a multi-specialty clinic center in Carlsbad, CA. CASSIDY MEDICAL GROUP - CSB NPI is 1457427668. The provider is registered as an organization entity type.

The provider's business location address is:

2562 STATE ST STE D
CARLSBAD, CA
ZIP 92008-663
Phone: (760) 729-7186
Fax: (760) 729-2753

The provider's authorized official is Judith M Krueger .
The authorized official title is Executive Director and has the following contact phone number (760) 630-5487.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 3/14/2008.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CH4627MEDICARE PINCALIFORNIA
23023OTHERCALIFORNIANEIC SITE ID, NSF BA0-7
3GR0060603MEDICAIDCALIFORNIA
4W14833DMEDICARE PINCALIFORNIA

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: 5/5/2024
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