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OUTREACH CARE MEDICAL GROUP INC NPI 1285976787


NPI Information

NPI: 1285976787
Provider Name: OUTREACH CARE MEDICAL GROUP, INC
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 05D2202848

Address:
2171 S EL CAMINO REAL
SUITE 104
OCEANSIDE, CA
ZIP 92054
Phone: (760) 754-5663
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OUTREACH CARE MEDICAL GROUP, INC is a geriatric medicine family medicine in Oceanside, CA. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. OUTREACH CARE MEDICAL GROUP, INC NPI is 1285976787. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2171 S EL CAMINO REAL
SUITE 104
OCEANSIDE, CA
ZIP 92054-229
Phone: (760) 754-5663

The provider's authorized official is Jacob N Flores .
The authorized official title is Physician and has the following contact phone number (760) 754-5663.

The CLIA number assigned to this NPI record is 05D2202848 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/22/2013 and was last updated on 3/22/2013.


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
1207QG0300XFamily MedicineGeriatric MedicineA60865CALIFORNIAYes

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
1A60865MEDICARE 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: 11/14/2023

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