WARING COURT PEDIATRIC AND ADULT MEDICAL GROUP
NPI 1164483723
Family Medicine in Oceanside, CA
About Waring Court Pediatric And Adult Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WARING COURT PEDIATRIC AND ADULT MEDICAL GROUP (NPI 1164483723), doing business as Surfside Medical Group, is a healthcare organization registered as a family medicine in Oceanside, California and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through March 7, 2027, maintains a secondary practice location in Oceanside, and lists Evanne Wilkey, Practice Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Secondary Practice Location 1
Other Identifiers 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)
Waring Court Pediatric And Adult Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Waring Court Pediatric And Adult Medical Group, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 05D0568292
Waring Court Pediatric & Adult Med Grp · Oceanside, CAFrequently 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 Waring Court Pediatric And Adult Medical Group's NPI number?
The NPI number for Waring Court Pediatric And Adult Medical Group is 1164483723. It was assigned to this organization in the NPPES registry on March 31, 2006. The provider is doing business as Surfside Medical Group.
Where is Waring Court Pediatric And Adult Medical Group located?
Waring Court Pediatric And Adult Medical Group is located at 3230 Waring Ct Suite J, Oceanside, CA 92056. The listed phone number is (760) 941-4498.
What is Waring Court Pediatric And Adult Medical Group's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Waring Court Pediatric And Adult Medical Group enrolled in Medicare?
Yes. Waring Court Pediatric And Adult Medical Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Waring Court Pediatric And Adult Medical Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Waring Court Pediatric And Adult Medical Group, in Family Practice 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Waring Court Pediatric And Adult Medical Group hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D0568292) is associated with this NPI, valid through March 7, 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 Waring Court Pediatric And Adult Medical Group was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.
# Waring Court Pediatric And Adult Medical Group · NPI 1164483723
Family Medicine organization in Oceanside, California. Organization record, active in the CMS NPPES registry since March 31, 2006.
## Identity
- **NPI:** 1164483723 (Entity type: Organization)
- **Enumerated:** March 31, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Surfside Medical Group (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Evanne Wilkey, PRACTICE DIRECTOR
## Practice location
- **Address:** 3230 WARING CT, SUITE J, Oceanside, CA 92056-4509
- **Phone:** (760) 941-4498 · **Fax:** (760) 941-6938
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 29, 2026
- **Other identifiers:** Other 1164483723 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164483723) · Data from the CMS NPPES public registry.