FALLBROOK MEDICAL GROUP INC NPI 1457495046

NPI Information

  • NPI: 1457495046
  • Provider Name: FALLBROOK MEDICAL GROUP, INC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • :
  • Address: 504 E ALVARADO ST STE 201
    FALLBROOK, CA
    ZIP 92028
  • Phone: (760) 731-0352

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NPI Details

FALLBROOK MEDICAL GROUP, INC is a pediatrics in Fallbrook, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. FALLBROOK MEDICAL GROUP, INC NPI is 1457495046. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

504 E ALVARADO ST STE 201
FALLBROOK, CA
ZIP 92028-364
Phone: (760) 731-0352
Fax: (760) 731-2151

The provider's authorized official is Barbara Gordon .
The authorized official title is Practice Administrator and has the following contact phone number (760) 731-0352.

The enumeration date for this NPI number is 2/16/2007 and was last updated on 9/11/2025.

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
1207Q00000XFamily MedicineG23092CALIFORNIANo
2207R00000XInternal MedicineC36017CALIFORNIANo
3208000000XPediatricsG36388CALIFORNIAYes

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
1GR00666880MEDICAIDCALIFORNIA

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: 11/21/2025

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