MOBILE MEDICAL GROUP (NPI# 1942447651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942447651 |
| Entity Type | Organization |
| Organization Name | MOBILE MEDICAL GROUP |
| Other Organization Name | CALL DOCTOR MEDICAL GROUP |
| Practice Address |
5030 Camino De La Siesta Suite 208 San Diego CA 92108-3116 |
| Practice Telephone | 6192606300 |
| Practice Fax Number | 6192606313 |
| Mailing Telephone | 6192606300 |
| Mailing Fax Number | 6192606313 |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-01-16 |
| Authorized Official Name | DR. CARY GRESHAM BAYNE (OWNER) |
| Authorized Official Telephone | 6192606300 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | MOBILE MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | FAC41617 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0089290 | 05 |
| Other Name | Type Code |
|---|---|
| Call Doctor Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962413583 | Mobile Medical Group | Family Medicine | 5030 Camino De La Siesta, Ste 208, San Diego, CA 92108-3117 | 2006-08-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | MOBILE MEDICAL GROUP (MA), P.C. | 36 Washington St., Suite 190, Wellesley Hills, MA 02481 |
| Street Address |
5030 CAMINO DE LA SIESTA SUITE 208 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-3116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073516316 | Robin Carol Wedberg | Obstetrics & Gynecology | 5030 Camino De La Siesta, Ste 106, San Diego, CA 92108-3117 | 2005-05-31 |
| 1831634971 | Lucia Gonzales | Nurse Practitioner | 5030 Camino De La Siesta, #106, San Diego, CA 92108-3116 | 2016-12-28 |
| 1073973509 | Jared Brown | Physical Therapist | 5030 Camino De La Siesta, #220, San Diego, CA 92108-3116 | 2016-02-25 |
| 1659765378 | Atefeh Eslami | Physician Assistant | 5030 Camino De La Siesta, Ste 106, San Diego, CA 92108 | 2015-03-19 |
| 1598158768 | Tasia Dianne Wagner | Nurse Practitioner | 5030 Camino De La Siesta, Suite 204, San Diego, CA 92108-3116 | 2015-03-12 |
| 1508255068 | Travis Chase | Nurse Practitioner | 5030 Camino De La Siesta, Suite 204, San Diego, CA 92108-3116 | 2015-01-21 |
| 1073930384 | Boston Medical Group California, L.L.C. | Urology | 5030 Camino De La Siesta, Suite 210, San Diego, CA 92108 | 2014-03-25 |
| 1598007296 | Nubia J Swain Md Inc | Psychiatry & Neurology | 5030 Camino De La Siesta, Suite 308, San Diego, CA 92108-3116 | 2013-03-20 |
| 1205115532 | Jian Min Fan | Acupuncturist | 5030 Camino De La Siesta, Suite 408, San Diego, CA 92108-3116 | 2011-08-04 |
| 1063664472 | Rachel Kurniadi | Family Medicine | 5030 Camino De La Siesta, Suite 208, San Diego, CA 92108-3116 | 2008-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801307822 | Mobile Picc Nurse | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 10981 San Diego Mission Rd Ste 112, San Diego, CA 92108-2448 | 2017-10-17 |
| 1518419068 | Pmdtc, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7313 Carroll Rd, Suite C, San Diego, CA 92121-2319 | 2016-11-01 |
| 1194150649 | Healthcare In Motion | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 9590 Chesapeake Dr Ste 2, San Diego, CA 92123 | 2013-09-03 |
| 1881876837 | Professional Imaging Services, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2785 Kurtz St, Suite 7, San Diego, CA 92110-3111 | 2007-12-01 |
| 1952407629 | Pacific American Medical Service Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5288 Eastgate Mall, San Diego, CA 92121-2835 | 2006-09-16 |
| 1316175342 | Michael S Duffy Sr Do Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1501 5th Ave Ste 100, San Diego, CA 92101-3251 | 2009-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629696497 | Iscan Medical Imaging, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 21822 Sherman Way Ste 201, Canoga Park, CA 91303-1938 | 2020-07-08 |
| 1518582014 | Pdi Health Ca LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3415 South Sepulveda Blvd Ste 1100, Los Angeles, CA 90034 | 2020-06-10 |
| 1790314151 | Jem Imaging Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 359 Churchill Pl, Gilroy, CA 95020-6738 | 2020-04-07 |
| 1427695352 | Quality Care Diagnostic Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 11900 Avalon Blvd Ste 101, Los Angeles, CA 90061-2867 | 2019-12-10 |
| 1851940431 | X-ray Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6450 Bellingham Ave Ste F, North Hollywood, CA 91606-1429 | 2019-09-06 |
| 1063074730 | Better Life United Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4100 Easton Dr Ste 12, Bakersfield, CA 93309-9418 | 2019-07-02 |
| 1679134118 | Sd Xray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3220 S Brea Canyon Rd Ste B, Diamond Bar, CA 91765-3481 | 2019-06-25 |
| 1114583549 | Ruahrena Corporation | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3053 West Olympic Boulevard, Suite 301, Los Angeles, CA 90006 | 2019-05-10 |
| 1457816712 | Pmdtc, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 23297 S Pointe Dr Ste 120, Laguna Hills, CA 92653-1491 | 2019-01-31 |
| 1083188767 | Mabel Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 356 E Olive Ave Ste 111, Burbank, CA 91502-1260 | 2019-01-16 |
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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.