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CLANCY MEDICAL GROUP
NPI 1053722124
Internal Medicine in Vista, CA

Active since May 12, 2014
2375 S MELROSE DR, VISTA, CA 92081(760) 305-1900(760) 305-1910 Get Directions Write a Review

NPPES record last updated: November 19, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 19, 2018, Sep 24, 2018, Mar 29, 2016 (3 updates tracked since 2016).

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

NPI1053722124
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameJOHN H CLANCY DO AND TARA LEIGH CLANCY DO MEDICAL CORPORATION
Location Address2375 S MELROSE DRVista, CA 92081-8788
Mailing Address2375 S Melrose DrVista, CA 92081-8788 · (760) 305-1900 · Fax (760) 305-1910
Phone(760) 305-1900
Fax(760) 305-1910
Organization SubpartNo
Authorized OfficialJohn Harold ClancyPresident · (760) 305-1900
Enumeration DateMay 12, 2014
Last NPPES UpdateNovember 19, 20183 updates tracked since enumeration
✔ NPI 1053722124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · 9614
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 9695 (CA)
2375 S MELROSE DR, Vista, CA 92081
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Other Names 1

Other NameClancy Medical Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2117517

Clancy Medical Group · Vista, CA
Expired · Aug 16, 2026
CLIA Number05D2117517
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2024
Certificate Expiration DateAugust 16, 2026
Laboratory DirectorJohn H. Clancy
Laboratory Phone(760) 305-1900
Laboratory LocationClancy Medical Group2375 S Melrose Dr, Vista, CA 92081
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISSANDE MERCEDES LAVERTY PA-C
Physician Assistant
2375 S MELROSE DR
VISTA, CA 92081
San Diego County (760) 822-9192
DR. TARA LEIGH CLANCY D.O.
Pediatrics
2375 S MELROSE DR
VISTA, CA 92081
San Diego County (760) 305-1900
ANNA ARMSTRONG GRAVES PA-C
Physician Assistant
2375 S MELROSE DR
VISTA, CA 92081
San Diego County (760) 305-1900
JOHN CLANCY DO
Internal Medicine
2375 S MELROSE DR
VISTA, CA 92081
San Diego County (760) 305-1900

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.

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.