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MIRA COSTA COMMUNITY COLLEGE DISTRICT NPI 1538933262


NPI Information

NPI: 1538933262
Provider Name: MIRA COSTA COMMUNITY COLLEGE DISTRICT
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 05D2264385

Address:
1 BARNARD DR
OCEANSIDE, CA
ZIP 92056
Phone: (760) 795-6675
Get Directions

MIRA COSTA COMMUNITY COLLEGE DISTRICT is a general practice in Oceanside, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MIRA COSTA COMMUNITY COLLEGE DISTRICT NPI is 1538933262. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 BARNARD DR
OCEANSIDE, CA
ZIP 92056-899
Phone: (760) 795-6675

The provider's authorized official is Kimberly Marquardt .
The authorized official title is Director, Health Services and has the following contact phone number (760) 795-6676.

The CLIA number assigned to this NPI record is 05D2264385 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/13/2023 and was last updated on 11/22/2023.


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
1208D00000XGeneral PracticeYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.