MEDICARE: NORTH COUNTY HEALTH PROJECT, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1023841376
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH COUNTY HEALTH PROJECT, INC.

Provider Business Mailing Address
First Line	:	150 VALPREDA RD
Second Line	:
City	:	SAN MARCOS
State	:	CA
Zip	:	92069-2973
Country	:	US
Telephone Number	:	760-736-6767
Fax Number	:

Provider Business Practice Location Address
First Line	:	3998 VISTA WAY STE 202
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92056-4518
Country	:	US
Telephone Number	:	760-736-6767
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	CHERYL PETERSEN
Credential	:
Telephone Number	:	760-736-8699

Provider Enumeration Date	:	08/22/2024
Last Update Date	:	08/12/2025

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