| Encinitas Family Care | |
|
351 Santa Fe Dr Suite 101 Encinitas CA 92024-5137 | |
| (760) 274-1385 | |
| (760) 274-1388 |
| Full Name | Encinitas Family Care |
|---|---|
| Speciality | Family Medicine |
| Location | 351 Santa Fe Dr, Encinitas, California |
| Authorized Official Name and Position | Perry W Sexton (PRESIDENT) |
| Authorized Official Contact | 7602741385 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Encinitas Family Care 351 Santa Fe Dr 101 Encinitas CA 92024-5137 Ph: (760) 274-1385 | Encinitas Family Care 351 Santa Fe Dr Suite 101 Encinitas CA 92024-5137 Ph: (760) 274-1385 |
| NPI Number | 1265757041 |
|---|---|
| Provider Enumeration Date | 04/05/2010 |
| Last Update Date | 12/05/2017 |
| Medicare PECOS PAC ID | 4082745153 |
|---|---|
| Medicare Enrollment ID | O20100706000802 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265757041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A94937 (California) | Primary |
| Provider Name | Perry W Sexton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972665339 PECOS PAC ID: 1557443785 Enrollment ID: I20080128000358 |
| Provider Name | Renea Barrientos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689333940 PECOS PAC ID: 7517339039 Enrollment ID: I20230209003174 |
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