CASSIDY MEDICAL GROUP -PEDS – NPI #1235206293
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CASSIDY MEDICAL GROUP -PEDS is a provider located in VISTA, CA. NPPES has assigned the NPI number 1235206293 to CASSIDY MEDICAL GROUP -PEDS on November 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 16 years ago on Oct 13, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CASSIDY MEDICAL GROUP -PEDS below.

NPI Profile for
CASSIDY MEDICAL GROUP -PEDS

NPI Number
1235206293
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CASSIDY MEDICAL GROUP -PEDS
Primary location
2067 W VISTA WAY STE 280
VISTA, CA 92083-6034
Phone: (760) 941-3630 Fax: (760) 941-1214
Mailing address
Same as primary location
Organization Subpart
Yes - CASSIDY MEDICAL GROUP -PEDS is subpart of another organization.
Authorized Official
JUDITH KRUEGER
EXECUTIVE DIRECTOR
Phone: (760) 630-5487
Updated
Identifiers

Identifiers for CASSIDY MEDICAL GROUP -PEDS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE PTANW41833A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.