ESCONDIDO CARDIOLOGY ASSOCIATES MEDICAL GROUP, INC. (NPI# 1437121183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437121183 |
| Entity Type | Organization |
| Organization Name | ESCONDIDO CARDIOLOGY ASSOCIATES MEDICAL GROUP, INC. |
| Practice Address |
488 E Valley Pkwy Suite 201 Escondido CA 92025-3363 |
| Practice Telephone | 7607430546 |
| Practice Fax Number | 7607438837 |
| Mailing Telephone | 7607430546 |
| Mailing Fax Number | 7607438837 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2012-08-30 |
| Authorized Official Name | DR. JOHN H DETWILER (PRESIDENT) |
| Authorized Official Telephone | 7607430546 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZZ70943Z | 05 | |
| RR MEDICARE | CU0135 | 01 | |
| CA | BLUE SHIELD | ZZZ70943Z | 01 |
| Street Address |
488 E VALLEY PKWY SUITE 201 |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92025-3363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679554372 | Branislav Cizmar | Obstetrics & Gynecology | 488 E Valley Pkwy, Suite 311, Escondido, CA 92025-3363 | 2005-11-09 |
| 1912433004 | Danielle R. Davidek | Nurse Practitioner | 488 E Valley Pkwy, Escondido, CA 92025-3363 | 2017-05-10 |
| 1215487624 | Edward Sall Dental Corporation | Dentist | 488 E Valley Pkwy, Suite 105, Escondido, CA 92025-3363 | 2016-10-10 |
| 1366990897 | Sleep Data Holdings LLC | Durable Medical Equipment & Medical Supplies | 488 E Valley Pkwy, Suite 316, Escondido, CA 92025-3363 | 2016-09-13 |
| 1437499704 | Joseph Matthew Garvin | Registered Nurse | 488 E Valley Pkwy, Suite 211, Escondido, CA 92025-3363 | 2013-02-25 |
| 1285971820 | Arch Health Partners | Family Medicine | 488 E Valley Pkwy, Suite 211, Escondido, CA 92025-3363 | 2013-01-15 |
| 1548507858 | Caylie Valenta | Physician Assistant | 488 E Valley Pkwy, Suite 411, Escondido, CA 92025-3363 | 2013-01-07 |
| 1851650584 | Pegah Maryam Mashayekhi | Internal Medicine | 488 E Valley Pkwy, Suite 211, Escondido, CA 92025-3363 | 2012-05-15 |
| 1467762161 | Elizabeth Nguyen Cao | Obstetrics & Gynecology | 488 E Valley Pkwy, Suite 107, Escondido, CA 92025-3363 | 2010-10-14 |
| 1609195122 | Scripps Health | Clinic/Center | 488 E Valley Pkwy, Ste 411, Escondido, CA 92025-3363 | 2010-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1801449640 | Jennifer Marsh | Marriage & Family Therapist | 403 N Escondido Blvd #533, Escondido, CA 92025 | 2019-07-21 |
| 1093281644 | Lucy Breen | Peer Specialist | 474 Weest Vermont Ave #104, Escondido, CA 92025 | 2018-10-22 |
| 1457834665 | Daniel & Max | Optometrist | 730 N Center City Parkway, Building A-1, Suite 101, Escondido, CA 92025 | 2018-09-13 |
| 1477033272 | Hyoshin Kwak | Acupuncturist | 106 S. Grape St, Suite 10, Escondido, CA 92025 | 2018-08-21 |
| 1467948877 | Irma P Garcia | Counselor | 337 West Mission Ave, Escondido, CA 92025 | 2018-07-09 |
| 1295235380 | Anna M. Rainville | Marriage & Family Therapist | 11701 San Pasqual Valley Rd, Escondido, CA 92025 | 2018-02-15 |
| 1689187049 | Monica Pino | Occupational Therapist | 469 E Grand Avenue, Escondido, CA 92025 | 2017-11-08 |
| 1427569581 | Mtk Primary Care Medical Group | Specialist | 1835a S Centre City Pkwy Ste 459, Escondido, CA 92025 | 2017-10-17 |
| 1619490349 | Elizabeth Sanchez Arvizu | Student in an Organized Health Care Education/Training Program | 490 N. Grape Stret, Escondido, CA 92025 | 2017-07-25 |
| Find all providers in zip 92025 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427569581 | Mtk Primary Care Medical Group | Specialist | 1835a S Centre City Pkwy Ste 459, Escondido, CA 92025 | 2017-10-17 |
| 1194036822 | Celinda Sophie Eads | Specialist | 1118 W Valley Pkwy, Escondido, CA 92025-2559 | 2010-06-28 |
| 1437343605 | Yale Mitchell Kadesky | Specialist | 1101 E Pennsylvania Ave, Escondido, CA 92025-3208 | 2007-08-30 |
| 1194800052 | Timothy Silleck Bailey | Specialist | 625 Citracado Pkwy Ste 108, Escondido, CA 92025-6428 | 2006-10-26 |
| 1326152604 | Sd Imaging Group, LLC | Specialist | 255 N Elm St Ste 102, Escondido, CA 92025-3431 | 2006-08-17 |
| 1285653543 | Pritam Singh | Specialist | 735 E Ohio Ave Ste 204, Escondido, CA 92025-3437 | 2006-07-18 |
| 1851389977 | Joseph M Mann IIi | Specialist | 163 N Date St, Escondido, CA 92025-3405 | 2005-10-12 |
| 1598763971 | Radiation Medical Group Inc | Specialist | 701 E Grand Ave, Ste 200, Escondido, CA 92025-4404 | 2005-07-11 |
| 1164425054 | Escondido Dermatology, Inc A Professional Corporation | Specialist | 504 W Mission Ave, Ste 101, Escondido, CA 92025-1602 | 2005-05-24 |
| 1760923601 | Emerson Medical Consultants, LLC | Specialist | 635 E Grand Ave, Escondido, CA 92025-4402 | 2017-03-11 |
| Find all providers in ESCONDIDO | ||||
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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.