Provider Type Icon

NORTH COUNTY CARDIOTHORACIC SURGERY A MEDICAL CORPORATION NPI 1104817238


NPI Information

NPI: 1104817238
Provider Name: NORTH COUNTY CARDIOTHORACIC SURGERY A MEDICAL CORPORATION
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
3998 VISTA WAY
SUITE A
OCEANSIDE, CA
ZIP 92056
Phone: (760) 726-2500
Get Directions

NORTH COUNTY CARDIOTHORACIC SURGERY A MEDICAL CORPORATION is a thoracic surgery cardiothoracic vascular surgery in Oceanside, CA. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. NORTH COUNTY CARDIOTHORACIC SURGERY A MEDICAL CORPORATION NPI is 1104817238. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3998 VISTA WAY
SUITE A
OCEANSIDE, CA
ZIP 92056
Phone: (760) 726-2500
Fax: (760) 726-3279

The provider's authorized official is Jean Folkerth .
The authorized official title is Office Manager and has the following contact phone number (760) 726-2500.

The enumeration date for this NPI number is 10/28/2005 and was last updated on 10/13/2015.


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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)C30651CALIFORNIAYes

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
1WC30651EMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2A34317MEDICARE UPIN
300C306510MEDICAIDCALIFORNIA

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

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.