Healthcare Provider Details

I. General information

NPI: 1891740833
Provider Name (Legal Business Name): ACCESS MEDICAL CENTERS, PMC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 09/29/2023
Certification Date: 09/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

477 N EL CAMINO REAL SUITE A100
ENCINITAS CA
92024
US

IV. Provider business mailing address

477 N EL CAMINO REAL SUITE A100
ENCINITAS CA
92024-1328
US

V. Phone/Fax

Practice location:
  • Phone: 760-943-9111
  • Fax: 760-943-1496
Mailing address:
  • Phone: 760-943-9111
  • Fax: 760-943-1496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: RAMIN H. FARSAD
Title or Position: PRESIDENT
Credential: MD
Phone: 760-943-9111