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CENTRO MEDICO DEL CARMEN, A MEDICAL CORPORATION
NPI 1063621738
General Practice in Escondido, CA

Active since May 21, 2007CLIA 05D1048123 · Waiver
303 S JUNIPER ST, ESCONDIDO, CA 92025(760) 480-9051(760) 480-9054 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Centro Medico Del Carmen, A Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRO MEDICO DEL CARMEN, A MEDICAL CORPORATION (NPI 1063621738) is a healthcare organization registered as a general practice in Escondido, California and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through November 20, 2027, maintains a secondary practice location in Escondido, and lists Thomas Lee Watson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063621738
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCENTRO MEDICO DEL CARMEN, A MEDICAL CORPORATION
Location Address303 S JUNIPER STEscondido, CA 92025-4924
Mailing Address303 S Juniper StEscondido, CA 92025-4924 · (760) 480-9051 · Fax (760) 480-9054
Phone(760) 480-9051
Fax(760) 480-9054
Organization SubpartNo
Authorized OfficialThomas Lee WatsonCeo · (760) 480-9051
Enumeration DateMay 21, 2007
Last NPPES UpdateJanuary 22, 2024
NPPES CertifiedJanuary 22, 2024
✔ NPI 1063621738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A52193
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
303 S JUNIPER ST, Escondido, CA 92025
Open in Google Maps ↗

Secondary Practice Location 1

Location 1301 E Washington Ave, Suite BEscondido, CA 92025-2855 · Phone (760) 480-9051 · Fax (760) 480-9054

Other Identifiers 1

Medicaid00A521930CA

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 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 05D1048123

Centro Medico Del Carmen · Escondido, CA
Active · expires Nov 20, 2027
CLIA Number05D1048123
Laboratory TypePhysician Office
Certificate Effective DateNovember 21, 2025
Certificate Expiration DateNovember 20, 2027
Laboratory DirectorThomas L. Watson, MD
Laboratory Phone(760) 480-9051
Laboratory LocationCentro Medico Del Carmen303 S Juniper St, Escondido, CA 92025
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 3

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

CENTRO MEDICO DEL CARMEN, A MEDICAL CORPORATION
Clinic/Center (Primary Care)
303 S JUNIPER ST
ESCONDIDO, CA 92025
San Diego County (760) 480-9051
DR. THOMAS LEE WATSON M.D.
General Practice
303 S JUNIPER ST
ESCONDIDO, CA 92025
San Diego County (760) 480-9051
ESCONDIDO UROLOGY MEDICAL GROUP INC
Urology
303 S JUNIPER ST
ESCONDIDO, CA 92025
San Diego County (760) 745-7079

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 Centro Medico Del Carmen, A Medical Corporation's NPI number?

The NPI number for Centro Medico Del Carmen, A Medical Corporation is 1063621738. It was assigned to this organization in the NPPES registry on May 21, 2007.

Where is Centro Medico Del Carmen, A Medical Corporation located?

Centro Medico Del Carmen, A Medical Corporation is located at 303 S Juniper St, Escondido, CA 92025. The listed phone number is (760) 480-9051.

What is Centro Medico Del Carmen, A Medical Corporation's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Centro Medico Del Carmen, A Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1048123) is associated with this NPI, valid through November 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Centro Medico Del Carmen, A Medical Corporation was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.