Cassidy Medical Group Inc.
LBN: Cassidy Medical Group Inc.
Cassidy Medical Group Inc. is an health care organization with primary practice located at 145 Thunder Dr , Vista CA 92083-6010. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty.
Cassidy Medical Group Inc. can be contacted via phone (760) 630-5487, or through Bennett, John M via phone (760) 630-5487.
Contact Information
Primary practice address
145 Thunder Dr
Vista CA 92083-6010
Phone: (760) 630-5487
Fax: (760) 630-2558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
| NPI number | 1215003470 |
|---|---|
| LBN Legal business name | Cassidy Medical Group Inc. |
| DBA Doing business as | |
| Authorized official | Bennett, John M Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 28th, 2006 |
| Last updated | Jun 9th, 2010 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215003470 | NPPES |
| California | Other | 366026600 | DEPARTMENT OF LABOR ID |
| California | MEDICAID | GR0060600 | DEPARTMENT OF LABOR ID |
| California | Other | 3000 | DEPARTMENT OF LABOR ID |
| California | Other | ZZZ59748Z | DEPARTMENT OF LABOR ID |
| California | Other | CAME25 | DEPARTMENT OF LABOR ID |
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