<unavail> in Escondido, CA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Escondido, California. The current practice location for is 215 S Hickory St Ste 114, Escondido, California. For appointments, you can reach them via phone at (760) 704-9429. The mailing address for is 215 S Hickory St Ste 114, Escondido, California and phone number is (760) 704-9429.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1285213132. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (760) 704-9429.

Contact Information


	215 S Hickory St Ste 114 Escondido CA 92025-4360
	(760) 704-9429
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	215 S Hickory St Ste 114, Escondido, California
Authorized Official Name and Position	Christian R Small (OWNER)
Authorized Official Contact	7607049429
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
215 S Hickory St Ste 114 Escondido CA 92025-4360 Ph: (760) 704-9429	215 S Hickory St Ste 114 Escondido CA 92025-4360 Ph: (760) 704-9429

NPI Details:

NPI Number	1285213132
Provider Enumeration Date	04/07/2021
Last Update Date	05/26/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	2466830013
Medicare Enrollment ID	O20220609002342

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285213132	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QM1300X	Clinic/center - Multi-specialty	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Christian Robert Small
Provider Type	Practitioner - Psychiatry
Provider Identifiers	NPI Number: 1740546209 PECOS PAC ID: 4587945365 Enrollment ID: I20220719001473

Reviews and Comments

Clinic/Center in Escondido, CA

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- Medicare Primary Care in Escondido, CA