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PRIMARY CARE ASSOCIATES MEDICAL GROUP INC NPI 1073590105


NPI Information

NPI: 1073590105
Provider Name: PRIMARY CARE ASSOCIATES MEDICAL GROUP, INC

Doing Business As: COASTAL ORTHOPAEDICS & SPORTS MEDICAL GROUP

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
3998 VISTA WAY
SUITE B
OCEANSIDE, CA
ZIP 92056
Phone: (760) 724-5173
Get Directions

PRIMARY CARE ASSOCIATES MEDICAL GROUP, INC is an orthopaedic surgery in Oceanside, CA. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. PRIMARY CARE ASSOCIATES MEDICAL GROUP, INC NPI is 1073590105. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Coastal Orthopaedics & Sports Medical Group.

The provider's business location address is:

3998 VISTA WAY
SUITE B
OCEANSIDE, CA
ZIP 92056-500
Phone: (760) 724-5173
Fax: (760) 724-5265

The provider's authorized official is Jeannette Brody .
The authorized official title is Billing Manager and has the following contact phone number (760) 724-1033.

The enumeration date for this NPI number is 12/29/2005 and was last updated on 7/29/2008.


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
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineA70831CALIFORNIANo
2207XX0005XOrthopaedic SurgerySports MedicineA68137CALIFORNIANo
3213ES0103XPodiatristFoot & Ankle SurgeryE4564CALIFORNIANo
4207X00000XOrthopaedic SurgeryA47884CALIFORNIANo
5363A00000XPhysician AssistantPA17120CALIFORNIANo
6207X00000XOrthopaedic SurgeryA70831CALIFORNIAYes

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
1GR0089840MEDICAIDCALIFORNIA
2W14850MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE GROUP NUMBER

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: 11/14/2023

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