UC SAN DIEGO HEALTH - RANCHO FAMILY MEDICAL GROUP (NPI# 1003385071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003385071 |
| Entity Type | Organization |
| Organization Name | UC SAN DIEGO HEALTH - RANCHO FAMILY MEDICAL GROUP |
| Practice Address |
28780 Single Oak Dr Ste 160 Temecula CA 92590-5528 |
| Mailing Address |
9300 Campus Point Drive Mail Code 7970 La Jolla CA 92037 |
| Practice Telephone | 9516941753 |
| Mailing Telephone | 8582496753 |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2018-11-19 |
| Authorized Official Name | MR. MICHAEL DENNIS PRICE (DIRECTOR, REVENUE & OPERATIONS) |
| Authorized Official Telephone | 8582496752 |
| Is Organization Subpart | Y |
| Parent Organization Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
28780 SINGLE OAK DR STE 160 |
| City | TEMECULA |
| State | CA |
| Zip Code | 92590-5528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508828310 | Pamela Allison Simmons | Family Medicine | 28780 Single Oak Dr Ste 160, Temecula, CA 92590-5528 | 2006-04-05 |
| 1649742362 | Mark Amis | Physician Assistant | 28780 Single Oak Dr Ste 160, Temecula, CA 92590-5528 | 2018-12-19 |
| 1013482363 | Nicole Noel Silvestri | Nurse Practitioner | 28780 Single Oak Dr Ste 160, Temecula, CA 92590-5528 | 2018-10-12 |
| 1265910087 | Jillian Marie Mccoy | Physician Assistant | 28780 Single Oak Dr Ste 160, Temecula, CA 92590-5528 | 2018-08-02 |
| 1275901399 | Robert Mcdaniel | Physician Assistant | 28780 Single Oak Dr Ste 160, Temecula, CA 92590-5528 | 2015-09-05 |
| 1306225305 | Matthew Lorenz Combs | Family Medicine | 28780 Single Oak Dr Ste 160, Temecula, CA 92590-5528 | 2015-05-22 |
| 1033533666 | Amber Holden | Physician Assistant | 28780 Single Oak Dr Ste 160, Temecula, CA 92590-5528 | 2014-02-18 |
| 1821342924 | Lois Jin-a Cho | Registered Nurse | 28780 Single Oak Dr Ste 160, Temecula, CA 92590-5528 | 2012-10-29 |
| 1982996328 | Erika Mora | Physician Assistant | 28780 Single Oak Dr Ste 160, Temecula, CA 92590-5528 | 2011-05-04 |
| 1780754168 | Timothy James Elfelt | Obstetrics & Gynecology | 28780 Single Oak Dr Ste 160, Temecula, CA 92590-5528 | 2006-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497221881 | Thangputtevy Melanie Chhea | Behavior Technician | 41769 Enterprise Circle N. Suite 104 & 105, Temecula, CA 92590 | 2018-10-23 |
| 1447734793 | Valleyone Medical LLC | Durable Medical Equipment & Medical Supplies | 27630 Commerce Center Dr, Ste. F, Temecula, CA 92590 | 2018-09-22 |
| 1730672288 | Brittany Heflin | Assistant Behavior Analyst | 41769 Enterprise Cir N Ste 104-105, Temecula, CA 92590 | 2018-06-10 |
| 1679980239 | Brittney Ann Dewall | Psychologist | 28999 Old Town Front Street, Suite 203, Temecula, CA 92590 | 2014-07-16 |
| 1790102853 | Irma Cabral | Counselor | 42072 5th St Ste 201b, Temecula, CA 92590 | 2014-03-26 |
| 1326461799 | Dr Helen H Im Dds | Durable Medical Equipment & Medical Supplies | 28780 Single Oak Dr #150, Temecula, CA 92590 | 2014-01-21 |
| 1205260130 | Canyon Lake Hospice, Inc. | Hospice Care, Community Based | 41661 Enterprise Cir N Ste 217, Temecula, CA 92590 | 2013-08-28 |
| 1265749105 | Audrey Munoz | Rehabilitation Practitioner | 27268 Via Industria, Temecula, CA 92590 | 2010-09-13 |
| 1902134729 | Oprimum Dynamic Achievement | Community/Behavioral Health | 28364 Vincent Moraga, Suite C, Temecula, CA 92590 | 2009-12-07 |
| 1578792057 | Monica Padilla Helvie | Marriage & Family Therapist | 28581 Old Town Front St # 103, Temecula, CA 92590 | 2009-07-06 |
| Find all providers in zip 92590 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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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.