Cassidy Medical Group Inc. in Vista - Multi-specialty

Cassidy Medical Group Inc. - NPI 1215003470

Cassidy Medical Group Inc. is a Multi-specialty in Vista, California. Cassidy Medical Group Inc. practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Cassidy Medical Group Inc. is 1215003470. The last update date is 2010-06-09.

Cassidy Medical Group Inc.'s current location address is 145 Thunder Dr, Vista, California. You can contact this provider via phone number 7606305487 and fax number 7606302558. The mailing address for Cassidy Medical Group Inc. is 145 Thunder Dr, Vista, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Cassidy Medical Group Inc.
Address 145 Thunder Dr, Vista, California
Phone Number 7606305487
Fax Number 7606302558
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Bennett M John
Credentials M.D.
Telephone Number 7606305487

NPI Number Detail

NPI Number 1215003470
Provider Enumeration Date 2006-11-28
Last Updated Date 2010-06-09

Provider Mailing Address Detail

Address 145 Thunder Dr
City Vista
State California (CA)
Post Code 920836010
Phone Number 7606305487
Fax Number 7606302558

Provider's Primary Taxonomy Detail

Speciality Multi-specialty
Taxonomy 261Qm1300X
Definition:
Provides integrated outpatient care across medical and surgical specialties with referrals under one roof.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
366026600 CA DEPARTMENT OF LABOR ID
GR0060600 CA --
3000 CA NEIC SITE ID, NSF BA0-7
ZZZ59748Z CA BLUE CROSS BLUE SHIELD ID
CAME25 CA UNIVERSAL ID

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FAQs about Cassidy Medical Group Inc.

What is the unique identification code assigned to Cassidy Medical Group Inc. by the Centers for Medicare & Medicaid Services?

The Cassidy Medical Group Inc. has been issued the NPI (National Provider Identifier) 1215003470. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Cassidy Medical Group Inc. is physically located?

The Cassidy Medical Group Inc. is situated at the following address: 145 Thunder Dr, Vista, CA 920836010.

What is Cassidy Medical Group Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Cassidy Medical Group Inc. is Multi-specialty, and the taxonomy code that classifies this field of practice is 261Qm1300X.

On what date did the Cassidy Medical Group Inc. receive its 1215003470 assignment from the Centers for Medicare & Medicaid Services?

The Cassidy Medical Group Inc. was assigned its 1215003470 by the Centers for Medicare & Medicaid Services on 2006-11-28.

When was the information related to Cassidy Medical Group Inc. most recently updated or refreshed?

The details pertaining to the Cassidy Medical Group Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2010-06-09.

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