Provider Demographics
NPI:1104860865
Name:FRANCISCO S. PARDO MD PC
Entity Type:Organization
Organization Name:FRANCISCO S. PARDO MD PC
Other - Org Name:HOUSE CALL DOCS, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:S
Authorized Official - Last Name:PARDO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:619-519-0989
Mailing Address - Street 1:2140 HAYDEN WAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92110-2126
Mailing Address - Country:US
Mailing Address - Phone:619-519-0989
Mailing Address - Fax:619-269-3402
Practice Address - Street 1:1855 1ST AVE
Practice Address - Street 2:SUITE 200 B
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-2685
Practice Address - Country:US
Practice Address - Phone:619-793-7988
Practice Address - Fax:619-269-4302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-15
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG57474207Q00000X, 207R00000X, 2084P0800X, 2085R0001X, 261QM1300X, 261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Multi-Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G574740Medicaid
CA00G574740OtherBLUE SHIELD
CAW20121Medicare PIN
CA00G574740OtherBLUE SHIELD