CASSIDY MEDICAL GROUP - SW (NPI# 1093882359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093882359 |
| Entity Type | Organization |
| Organization Name | CASSIDY MEDICAL GROUP - SW |
| Practice Address |
2095 W Vista Way Ste 218 Vista CA 92083-6029 |
| Practice Telephone | 7606303562 |
| Practice Fax Number | 7606302559 |
| Mailing Telephone | 7606303562 |
| Mailing Fax Number | 7606302559 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2010-10-13 |
| Authorized Official Name | JUDITH M KRUEGER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7606305487 |
| Is Organization Subpart | Y |
| Parent Organization Name | CASSIDY MEDICAL GROUP INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GROO60602 | 05 | |
| CA | NEIC SITE ID, NSF BA0-7 | 3016 | 01 |
| Street Address |
2095 W VISTA WAY STE 218 |
| City | VISTA |
| State | CA |
| Zip Code | 92083-6029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528136801 | Wendy Gail Martin | Family Medicine | 2095 W Vista Way Ste 218, Vista, CA 92083-6029 | 2006-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114496882 | Claire Louise Marsden | Speech-Language Pathologist | 1626 Fawley Lane, Vista, CA 92083 | 2018-11-24 |
| 1861975336 | Shawna Corn | Counselor | 216 W. Los Angeles Dr., Vista, CA 92083 | 2018-09-11 |
| 1164916433 | Sindia Zamarripa | Case Manager/Care Coordinator | 139 East Dr, Vista, CA 92083 | 2018-06-19 |
| 1184140295 | Rosa Gema Pamatz | Counselor | 216 West Los Angeles Dr, Vista, CA 92083 | 2017-08-21 |
| 1528452521 | Vincetta Cox | Nursing Care | 770 Sycamore Avenue, 122-178, Vista, CA 92083 | 2015-03-27 |
| 1922367739 | Oriental Medical Arts & Acupuncture | Acupuncturist | 544 W Vista Way, Vista, CA 92083 | 2012-05-14 |
| 1861623001 | Dawn Lindshield | Counselor | 550 W Vista Way Ste 408, Vista, CA 92083 | 2009-08-06 |
| 1932336534 | Amyjane Dill | Student in an Organized Health Care Education/Training Program | 216 W Los Angeles Drive, New Haven Youth Family Services, Vista, CA 92083 | 2009-06-22 |
| 1821239054 | Marisela Wong | Pharmacist | 1510 N. Santa Fe Avenue, Vista, CA 92083 | 2009-03-18 |
| 1235389602 | Erik Sven Peterson | Counselor | 155 W. Bobier, Vista, CA 92083 | 2008-09-23 |
| Find all providers in zip 92083 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578081089 | Vf Alliance, A Medical Corporation | Family Medicine | 969 S. Santa Fe Ave, Ste A, Suite A, Vista, CA 92083-6910 | 2017-09-05 |
| 1972853190 | Julia Susana Rodriguez | Family Medicine | 3231c Business Park Dr # 138, Vista, CA 92081-8526 | 2012-09-14 |
| 1811296288 | Jennifer Prince | Family Medicine | 1000 Vale Terrance Dr, Vista, CA 92084 | 2011-03-24 |
| 1376792572 | Kala R. Bhasker | Family Medicine | 145 Thunder Dr 1st, Vista, CA 92083-6010 | 2008-09-11 |
| 1124118062 | Mihaela Beloiu | Family Medicine | 130 Cedar Rd Ste 210, Vista, CA 92083-5102 | 2006-10-13 |
| 1275638165 | Timothy Evan Lindamood | Family Medicine | 130 Cedar Rd # 102, Vista, CA 92083-5102 | 2006-09-14 |
| 1962504894 | Khanh T Vu | Family Medicine | 130 Cedar Rd # 220, Vista, CA 92083-5102 | 2006-09-01 |
| 1396855235 | Amad Edward Kadry | Family Medicine | 145 Thunder Dr, Vista, CA 92083-6010 | 2006-08-30 |
| 1134133143 | Christine Ann Strohmeyer | Family Medicine | 130 Cedar Rd # 230, Vista, CA 92083-5102 | 2006-07-27 |
| 1568486710 | Joseph Castrejon | Family Medicine | 2120 Thibodo Rd # 120, Vista, CA 92081-7901 | 2006-07-27 |
| Find all providers in VISTA | ||||
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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.