TRI CITY PRIMARY CARE MEDICAL GROUP, INC (NPI# 1518364165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518364165 |
| Entity Type | Organization |
| Organization Name | TRI CITY PRIMARY CARE MEDICAL GROUP, INC |
| Practice Address |
1926 Via Ctr Vista CA 92081-6056 |
| Mailing Address |
1926 Via Centre Drive Vista CA 92081 |
| Practice Telephone | 7142721600 |
| Practice Fax Number | 7602764378 |
| Mailing Telephone | 7142721600 |
| Mailing Fax Number | 7602764378 |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2015-02-17 |
| Authorized Official Name | MR. JOHN PIRONTI (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7142721600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1926 VIA CTR |
| City | VISTA |
| State | CA |
| Zip Code | 92081-6056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316936933 | Sam Baroudi | Internal Medicine | 1926 Via Ctr, Vista, CA 92081-6056 | 2005-10-17 |
| 1447878038 | Natalie Widmer | Behavior Technician | 1926 Via Ctr, Vista, CA 92081-6056 | 2020-07-09 |
| 1649804535 | Gilberto Damian Barajas | Behavior Technician | 1926 Via Ctr, Vista, CA 92081-6056 | 2020-02-28 |
| 1336773837 | Bayleigh Lynn Cluett | Behavior Technician | 1926 Via Ctr, Vista, CA 92081-6056 | 2020-02-24 |
| 1578129300 | Cristian Camargo Garcia | Behavior Technician | 1926 Via Ctr, Vista, CA 92081-6056 | 2019-05-16 |
| 1063959930 | Active Solutions Physical Therapy, PC | Clinic/Center | 1926 Via Ctr, Suite B, Vista, CA 92081-6056 | 2017-01-30 |
| 1740735745 | Vanessa Elizabeth Cordova | Nurse Practitioner | 1926 Via Ctr, Vista, CA 92081-6056 | 2016-08-18 |
| 1609890813 | Jeffrey Martin Ferber | Family Medicine | 1926 Via Ctr, Vista, CA 92081-6056 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548896202 | Maritza Mercado | Behavior Technician | 1926 Civic Center Dr Suite B, Vista, CA 92081 | 2020-03-13 |
| 1417599267 | Cherelle Artise Lewis | Behavior Technician | 1926 Via Centre Drive, Suite B, Vista, CA 92081 | 2019-10-14 |
| 1194101295 | Mary Stewart | Physical Therapist | 1515 S Melrose Dr, Vista, CA 92081 | 2015-07-31 |
| 1184069122 | Houri Fatourachi, Dds Inc | Dentist | 2325 S Melrose Dr., Vista, CA 92081 | 2013-05-03 |
| 1821377037 | Mori Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 2320 La Mirada Dr, Vista, CA 92081 | 2011-08-05 |
| 1497068563 | Gerald Francis Moore | Dentist | 610 S. Melrose Dr, Vista, CA 92081 | 2010-07-19 |
| 1316274749 | Mahtab Saadatmandi | Dentist | 2311 S. Melrose Dr., Vista, CA 92081 | 2009-11-05 |
| 1760650808 | Edward George Dougherty | Occupational Therapy Assistant | 1579 Wellington Lane, 51, Vista, CA 92081 | 2008-02-12 |
| 1831398676 | Longs Drug Stores California LLC | Pharmacy | 635 S Melrose Dr, Vista, CA 92081 | 2007-07-12 |
| 1346462231 | Houri Fatourachi | Dentist | 2325 South Melrose Drive, Vista, CA 92081 | 2007-05-02 |
| Find all providers in zip 92081 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
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| 1669092854 | Wellbeing Clinic Inc | Family Medicine | 1621 S New Hampshire Ave, Los Angeles, CA 90006-4513 | 2020-04-17 |
| 1619513611 | Krista Mckinney | Family Medicine | 344o E. La Palma Avenue, Anaheim, CA 92806 | 2019-11-25 |
| 1457995565 | Ucsf Medical Group Business Services | Family Medicine | 1100 Park Pl Ste 100, San Mateo, CA 94403-7119 | 2019-10-31 |
| 1780237313 | Charles Kim Md Inc | Family Medicine | 3055 W Orange Ave Ste 204, Anaheim, CA 92804-3154 | 2019-07-23 |
| 1083277206 | Baum 5 Star Healthcare | Family Medicine | 560 W Grangeville Blvd Ste A, Hanford, CA 93230-2858 | 2019-04-15 |
| 1477025278 | Connexus Family Clinic Inc | Family Medicine | 1930 E. Anaheim Street, N/a, Long Beach, CA 90813-3908 | 2018-12-19 |
| 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.