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CASSIDY MEDICAL GROUP - SW
NPI 1093882359
Family Medicine in Vista, CA

Active since November 29, 2006
2095 W VISTA WAY STE 218, VISTA, CA 92083(760) 630-3562(760) 630-2559 Get Directions Write a Review

NPPES record last updated: October 13, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cassidy Medical Group - Sw NPPES

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

CASSIDY MEDICAL GROUP - SW (NPI 1093882359) is a healthcare organization registered as a family medicine in Vista, California and active in the NPI registry since November 2006. The organization lists Judith M Krueger, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1093882359
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCASSIDY MEDICAL GROUP - SW
Location Address2095 W VISTA WAY STE 218Vista, CA 92083-6029
Mailing Address2095 W Vista Way Ste 218Vista, CA 92083-6029 · (760) 630-3562 · Fax (760) 630-2559
Phone(760) 630-3562
Fax(760) 630-2559
Organization SubpartYesParent: Cassidy Medical Group Inc.
Authorized OfficialJudith M KruegerExecutive Director · (760) 630-5487
Enumeration DateNovember 29, 2006
Last NPPES UpdateOctober 13, 2010
✔ NPI 1093882359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2095 W VISTA WAY STE 218, Vista, CA 92083
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Other Identifiers 4

Medicare PINCH4627CA
Other3016CA · Neic Site Id, Nsf Ba0-7
MedicaidGROO60602CA
Medicare PINW14833BCA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

BRADLEY A ELI DMD, MS
Dentist (Orofacial Pain)
2095 W VISTA WAY STE 218
VISTA, CA 92083
San Diego County (760) 436-6365
DR. WENDY GAIL MARTIN M.D.
Family Medicine
2095 W VISTA WAY STE 218
VISTA, CA 92083
San Diego County (760) 630-3562
GRAHAM ASHTON HARRIS DDS
Dentist (Orofacial Pain)
2095 W VISTA WAY STE 218
VISTA, CA 92083
San Diego County (760) 436-6365
BRADLEY A. ELI DENTAL CORPORATION
Dentist (Orofacial Pain)
2095 W VISTA WAY STE 218
VISTA, CA 92083
San Diego County (760) 436-6365

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 Cassidy Medical Group - SW's NPI number?

The NPI number for Cassidy Medical Group - SW is 1093882359. It was assigned to this organization in the NPPES registry on November 29, 2006.

Where is Cassidy Medical Group - SW located?

Cassidy Medical Group - SW is located at 2095 W Vista Way Ste 218, Vista, CA 92083. The listed phone number is (760) 630-3562.

What is Cassidy Medical Group - SW's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Cassidy Medical Group - SW was last updated on October 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.