SMARTCAREMD PRACTICE MANAGEMENT LLC (NPI# 1154778157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154778157 |
| Entity Type | Organization |
| Organization Name | SMARTCAREMD PRACTICE MANAGEMENT LLC |
| Other Organization Name | GRAYBILL MEDICAL GROUP- OCEANSIDE URGENT CARE |
| Practice Address |
3142 Vista Way Suite 100 Oceanside CA 92056-3619 |
| Mailing Address |
9276 Scranton Rd Suite 100 San Diego CA 92121-7701 |
| Practice Telephone | 8662282236 |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2016-05-19 |
| Authorized Official Name | KENNY HEINE (VP OF OPERATIONS) |
| Authorized Official Telephone | 8589641506 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | A112617 | CA | Suppliers |
| Other Name | Type Code |
|---|---|
| Graybill Medical Group- Oceanside Urgent Care | Doing Business As Name - Organization |
| Street Address |
3142 VISTA WAY SUITE 100 |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92056-3619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518953660 | Robin M. Waggoner | Physician Assistant | 3142 Vista Way, Suite 100, Oceanside, CA 92056-3627 | 2005-09-23 |
| 1013366236 | Health Link Medical Group Inc | Family Medicine | 3142 Vista Way, Ste 206, Oceanside, CA 92056-3619 | 2016-06-08 |
| 1760844468 | Josephine Giesler | Marriage & Family Therapist | 3142 Vista Way, Suite 400, Oceanside, CA 92056-3619 | 2016-03-22 |
| 1831574144 | Health Link Medical Management Services LLC | Clinic/Center | 3142 Vista Way, 206, Oceanside, CA 92056 | 2015-07-28 |
| 1619393584 | North County Lifeline | Community/Behavioral Health | 3142 Vista Way, Suite #400, Oceanside, CA 92056-3619 | 2014-03-14 |
| 1134541105 | Jason Anthony | Social Worker | 3142 Vista Way, Oceanside, CA 92056-3619 | 2014-01-10 |
| 1366864332 | Kiley Dunne | Marriage & Family Therapist | 3142 Vista Way, Suite 400, Oceanside, CA 92056-3619 | 2014-01-10 |
| 1972851996 | Jessica Lynn Ditson | Social Worker | 3142 Vista Way, Suite 400, Oceanside, CA 92056-3619 | 2012-08-23 |
| 1790056612 | Lauren Marie Holden | Marriage & Family Therapist | 3142 Vista Way, Suite 400, Oceanside, CA 92056-3619 | 2012-01-24 |
| 1205142510 | Sarah Elinor Cobb | Counselor | 3142 Vista Way, Suite 205, Oceanside, CA 92056-3619 | 2010-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174148639 | Universal Health Net San Diego | Hospice Care, Community Based | 4155 Oceanside Blvd, Suite 240, Oceanside, CA 92056 | 2020-06-10 |
| 1750913216 | Jared Pomerenke | Counselor | 3923 Warning Rd., Suite D, Oceanside, CA 92056 | 2020-02-12 |
| 1700424728 | Donna Jean Trapolino | Dental Hygienist | Bldg414006 Nelson Rd, Camp Pendleton, CA 92056 | 2019-12-20 |
| 1679122717 | David King Ping | Registered Nurse | 3609 Ocean Ranch Blvd Street 104, Oceanside, CA 92056 | 2019-09-11 |
| 1396254058 | Alison Schurman | Nurse Practitioner | 200 Mercy Circle Dr, Department of Pediatrics, Oceanside, CA 92056 | 2017-09-26 |
| 1407212665 | Yolanda Orozco Gaeta | Marriage & Family Therapist | 3923 Waring Road Ste D, North Coastal Treatment Recovery Center, Oceanside, CA 92056 | 2016-01-04 |
| 1871982751 | Wael Wassef | Pharmacist | 4755 Oceanside Blvd Ste 130, Oceanside, CA 92056 | 2015-01-15 |
| 1639501869 | William Stacy Parks | Family Medicine | 2376 Back Nine St., Oceanside, CA 92056 | 2013-07-30 |
| 1760725766 | Great Expectations Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4825 Glenhaven Drive, Oceanside, CA 92056 | 2013-03-28 |
| 1649533993 | Justin Bowles | Family Medicine | 1761 Avenida Segovia, Oceanside, CA 92056 | 2012-06-21 |
| Find all providers in zip 92056 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609094036 | Vista Community Clinic - Horne Dispensary | Non-Pharmacy Dispensing Site | 517 N Horne St, Oceanside, CA 92054-2518 | 2007-04-23 |
| 1891911681 | Vista Community Clinic - Pier View Way Dispensary | Non-Pharmacy Dispensing Site | 818 Pier View Way, Oceanside, CA 92054-2803 | 2007-04-18 |
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| 1285268391 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 1337 S Lovers Ln Ste D, Visalia, CA 93292-5249 | 2020-02-27 |
| 1790327732 | Triumph Specialties LLC | Non-Pharmacy Dispensing Site | 11100 Sepulveda Blvd # 8-519, Mission Hills, CA 91345-1131 | 2019-10-10 |
| 1487210365 | Artius Dermatology Associates P.C. | Non-Pharmacy Dispensing Site | 325 Mall Dr Ste 111, Hanford, CA 93230-5950 | 2019-05-15 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1043719206 | Southern California Orthopedic Institute L.p | Non-Pharmacy Dispensing Site | 4100 Empire Dr Ste 120, Bakersfield, CA 93309-0408 | 2018-02-02 |
| 1174032353 | Golden Gate Urology, Inc. | Non-Pharmacy Dispensing Site | 139 Townsend St Ste 100, San Francisco, CA 94107-1946 | 2017-09-20 |
| 1215462080 | Mas Management Group, Inc. | Non-Pharmacy Dispensing Site | 28446 Constellation Rd, Valencia, CA 91355-5081 | 2017-04-28 |
| 1730624719 | St. John's Well Child and Family Center Inc | Non-Pharmacy Dispensing Site | 326 W 23rd St, Los Angeles, CA 90007-2612 | 2016-12-29 |
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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.