LAS PALMAS MEDICAL GROUP (NPI# 1063718930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063718930 |
| Entity Type | Organization |
| Organization Name | LAS PALMAS MEDICAL GROUP |
| Other Organization Name | VALLEY IMMEDIATE CARE |
| Practice Address |
1540 E Valley Pkwy Escondido CA 92027-2316 |
| Practice Telephone | 7606214902 |
| Practice Fax Number | 7604000012 |
| Mailing Telephone | 7606214902 |
| Mailing Fax Number | 7604000012 |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2011-02-14 |
| Authorized Official Name | CARLOS MENA (OFFICE MANAGER) |
| Authorized Official Telephone | 7604804747 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | G57022 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1770663551 | 05 | |
| CA | 1164503652 | 05 |
| Other Name | Type Code |
|---|---|
| Valley Immediate Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164503652 | Las Palmas Medical Group | General Practice | 1003 N. State Street, Hemet, CA 92543-4435 | 2006-10-18 |
| 1770663551 | Las Palmas Medical Group | General Practice | 750 E Grand Ave Ste B-c, Escondido, CA 92025-4460 | 2006-10-16 |
| Street Address |
1540 E VALLEY PKWY |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92027-2316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649692369 | Donna Baldwin | Physician Assistant | 1540 E Valley Pkwy, Escondido, CA 92027-2316 | 2014-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912404179 | Shaunntanel Lund | Midwife | 16625 New Moon Lane, Escondido, CA 92027 | 2018-04-12 |
| 1457871766 | Stephen Martinez | Physical Therapy Assistant | 466 Devonshire Glen, Escondido, CA 92027 | 2017-06-27 |
| 1407227184 | Fletcher Carson | Military Health Care Provider | 719 Erica Street, Escondido, CA 92027 | 2015-10-07 |
| 1336413426 | Nadir T. Khuri | General Practice | 3284 White Hawk Rd., Escondido, CA 92027 | 2012-03-07 |
| 1598914624 | Maria Graciela Herrera | Case Manager/Care Coordinator | 463 N Midway, Ste 200, Escondido, CA 92027 | 2008-09-12 |
| 1891850913 | Anna Kansky | Dentist | 1711 E Valley Pkwy, Millennium Dental, Escondido, CA 92027 | 2006-12-27 |
| 1629164322 | County of San Diego | Exclusive Provider Organization | 420 North Falconer Road, Escondido, CA 92027 | 2006-10-04 |
| 1619968005 | Kaufman Physical Therapy Inc | Physical Therapist | 1318 Mountain Park Place, Escondido, CA 92027 | 2005-11-03 |
| 1336670645 | Ashley Ingram | Dentist | 430 N Rose St, Escondido, CA 92027 | 2017-03-27 |
| 1487899233 | Lindsley Marie Shaw | Case Manager/Care Coordinator | 463 N Midway, Escondido, CA 92027 | 2008-12-09 |
| Find all providers in zip 92027 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336413426 | Nadir T. Khuri | General Practice | 3284 White Hawk Rd., Escondido, CA 92027 | 2012-03-07 |
| 1780880815 | Raymond Dann M.d. Inc | General Practice | 160 N Date St, Escondido, CA 92025-3406 | 2007-06-25 |
| 1770663551 | Las Palmas Medical Group | General Practice | 750 E Grand Ave Ste B-c, Escondido, CA 92025-4460 | 2006-10-16 |
| 1023273356 | Danicare Family Health, Inc. | General Practice | 701 E Grand Ave Ste 100, Escondido, CA 92025-4466 | 2008-07-25 |
| 1295903607 | Neighborhood Healthcare | General Practice | 460 N Elm St, Escondido, CA 92025-3002 | 2008-02-19 |
| 1629254545 | Neighborhood Healthcare | General Practice | 641 E Pennsylvania Ave Ste 102, Escondido, CA 92025-3047 | 2008-01-10 |
| 1063621738 | Centro Medico Del Carmen, A Medical Corporation | General Practice | 303 S Juniper St, Escondido, CA 92025-4924 | 2007-05-21 |
| 1104865781 | Thomas Lee Watson | General Practice | 303 S Juniper St, Escondido, CA 92025-4924 | 2006-06-06 |
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| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
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| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.