CLANCY MEDICAL GROUP
NPI 1053722124
Internal Medicine in Vista, CA
About Clancy Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLANCY MEDICAL GROUP (NPI 1053722124) is a healthcare organization registered as an internal medicine in Vista, California and active in the NPI registry since May 2014. The organization lists John Harold Clancy, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clancy Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Clancy Medical Group, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John H Clancy Do And Tara Leigh Clancy Do Medical Corporation's NPI number?
The NPI number for John H Clancy Do And Tara Leigh Clancy Do Medical Corporation is 1053722124. It was assigned to this organization in the NPPES registry on May 12, 2014. The provider is also known as Clancy Medical Group.
Where is John H Clancy Do And Tara Leigh Clancy Do Medical Corporation located?
John H Clancy Do And Tara Leigh Clancy Do Medical Corporation is located at 2375 S Melrose Dr, Vista, CA 92081. The listed phone number is (760) 305-1900.
What is John H Clancy Do And Tara Leigh Clancy Do Medical Corporation's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is John H Clancy Do And Tara Leigh Clancy Do Medical Corporation enrolled in Medicare?
Yes. John H Clancy Do And Tara Leigh Clancy Do Medical Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through John H Clancy Do And Tara Leigh Clancy Do Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to John H Clancy Do And Tara Leigh Clancy Do Medical Corporation, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for John H Clancy Do And Tara Leigh Clancy Do Medical Corporation was last updated on November 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Clancy Medical Group · NPI 1053722124
Internal Medicine organization in Vista, California. Organization record, active in the CMS NPPES registry since May 12, 2014.
## Identity
- **NPI:** 1053722124 (Entity type: Organization)
- **Enumerated:** May 12, 2014
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** John H Clancy Do And Tara Leigh Clancy Do Medical Corporation
- **Organization subpart:** No
- **Authorized official:** John Clancy, PRESIDENT
## Practice location
- **Address:** 2375 S MELROSE DR, Vista, CA 92081-8788
- **Phone:** (760) 305-1900 · **Fax:** (760) 305-1910
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (2), Nurse Practitioner (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 19, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1053722124) · Data from the CMS NPPES public registry.