Provider Demographics
NPI:1891740833
Name:ACCESS MEDICAL CENTERS, PMC
Entity Type:Organization
Organization Name:ACCESS MEDICAL CENTERS, PMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAMIN
Authorized Official - Middle Name:H
Authorized Official - Last Name:FARSAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-943-9111
Mailing Address - Street 1:477 N EL CAMINO REAL
Mailing Address - Street 2:SUITE A100
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-1328
Mailing Address - Country:US
Mailing Address - Phone:760-943-9111
Mailing Address - Fax:760-943-1496
Practice Address - Street 1:477 N EL CAMINO REAL
Practice Address - Street 2:SUITE A100
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024
Practice Address - Country:US
Practice Address - Phone:760-943-9111
Practice Address - Fax:760-943-1496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ05663ZOtherBLUE SHIELD
CA6254440002Medicare NSC
CAZZZ05663ZOtherBLUE SHIELD
CA6254440001Medicare NSC