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ENCOMPASS FAMILY PHYSICIAN MEDICAL GROUP NPI 1720035744


NPI Information

NPI: 1720035744
Provider Name: ENCOMPASS FAMILY PHYSICIAN MEDICAL GROUP
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D0990824

Address:
10225 AUSTIN DR
STE # 103
SPRING VALLEY, CA
ZIP 91978
Phone: (619) 660-5719
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ENCOMPASS FAMILY PHYSICIAN MEDICAL GROUP is a family medicine in Spring Valley, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ENCOMPASS FAMILY PHYSICIAN MEDICAL GROUP NPI is 1720035744. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10225 AUSTIN DR
STE # 103
SPRING VALLEY, CA
ZIP 91978-500
Phone: (619) 660-5719
Fax: (619) 660-5934

The provider's authorized official is John Daily .
The authorized official title is Executive Director and has the following contact phone number (619) 660-5719.

The CLIA number assigned to this NPI record is 05D0990824 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 10/15/2007.


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
1207Q00000XFamily MedicineYes

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
1W11716BMEDICARE PINCALIFORNIA
2W11716FMEDICARE PINCALIFORNIA
3W11716EMEDICARE PINCALIFORNIA
4W11716AMEDICARE PINCALIFORNIA
5W11716GMEDICARE 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: 4/28/2024

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