Coastal Orthopaedics & Sports Medical Group

LBN: Primary Care Associates Medical Group, Inc
Coastal Orthopaedics & Sports Medical Group is an health care organization with primary practice located at 3998 Vista Way Suite B, Oceanside CA 92056-4500. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty. Primary Care Associates Medical Group, Inc can be contacted via phone (760) 724-5173, or through Brody, Jeannette via phone (760) 724-1033.

Contact Information

Primary practice address
3998 Vista Way Suite B Oceanside CA 92056-4500
Phone: (760) 724-5173
Fax: (760) 724-5265
Website:
Map and Directions
Authorized official contact:
Name: Brody, Jeannette
Phone: (760) 724-1033

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X A70831 California
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X A47884 California
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X A70831 California
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X A68137 California
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E4564 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA17120 California

Profile Details

NPI number 1073590105
LBN Legal business name Primary Care Associates Medical Group, Inc
DBA Doing business as Coastal Orthopaedics & Sports Medical Group
Authorized official Brody, Jeannette
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2005
Last updated Jul 29th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073590105 NPPES
California MEDICAID GR0089840

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