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LAKE SAN MARCOS FAMILY MEDICINE
NPI 1124392683
Family Medicine in San Marcos, CA

Active since March 01, 2012CLIA 05D2042367 · Microscopy
1030 LA BONITA DR, SUITE 316, SAN MARCOS, CA 92078(760) 744-9626(760) 744-0751 Get Directions Write a Review

NPPES record last updated: March 1, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake San Marcos Family Medicine NPPES

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

LAKE SAN MARCOS FAMILY MEDICINE (NPI 1124392683) is a healthcare organization registered as a family medicine in San Marcos, California and active in the NPI registry since March 2012. The organization holds a CLIA Microscopy certificate valid through June 10, 2028 and lists Neil L Halim, Owner, as its authorized official.

NPPES Registry Identity

NPI1124392683
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNEIL L. HALIM, MD INC.
Location Address1030 LA BONITA DR, SUITE 316San Marcos, CA 92078-5291
Mailing Address1030 La Bonita Dr, Suite 316San Marcos, CA 92078-5291 · (760) 744-9626 · Fax (760) 744-0751
Phone(760) 744-9626
Fax(760) 744-0751
Organization SubpartNo
Authorized OfficialNeil L HalimOwner · (318) 230-5487
Enumeration DateMarch 1, 2012
✔ NPI 1124392683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · C53327
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.
1030 LA BONITA DR, San Marcos, CA 92078
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Other Names 1

Doing Business AsLake San Marcos Family Medicine

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 for Provider-Performed Microscopy Procedures (PPMP) 05D2042367

Lake San Marcos Family Medicine · San Marcos, CA
Active · expires Jun 10, 2028
CLIA Number05D2042367
Laboratory TypePhysician Office
Certificate Effective DateJune 11, 2026
Certificate Expiration DateJune 10, 2028
Laboratory DirectorNeil L. Halim MD
Laboratory Phone(760) 744-9626
Laboratory LocationLake San Marcos Family Medicine1030 La Bonita Dr Ste 316, San Marcos, CA 92078
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

SHARON B. LEVY NURSE PRACTITIONER
Nurse Practitioner (Family)
1030 LA BONITA DR, #316
SAN MARCOS, CA 92078
San Diego County (760) 744-9626
TED WASSEL D.D.S.
Dentist (Oral and Maxillofacial Surgery)
1030 LA BONITA DR, SUITE 322
SAN MARCOS, CA 92078
San Diego County (760) 744-1919

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 Neil L. Halim, MD Inc.'s NPI number?

The NPI number for Neil L. Halim, MD Inc. is 1124392683. It was assigned to this organization in the NPPES registry on March 1, 2012. The provider is doing business as Lake San Marcos Family Medicine.

Where is Neil L. Halim, MD Inc. located?

Neil L. Halim, MD Inc. is located at 1030 La Bonita Dr Suite 316, San Marcos, CA 92078. The listed phone number is (760) 744-9626.

What is Neil L. Halim, MD Inc.'s specialty?

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

Does Neil L. Halim, MD Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D2042367) is associated with this NPI, valid through June 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Neil L. Halim, MD Inc. was last updated on March 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.