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CASSIDY MEDICAL GROUP INC.
NPI 1215003470
Clinic/Center - Multi-Specialty in Vista, CA

Active since November 28, 2006
145 THUNDER DR, VISTA, CA 92083(760) 630-5487(760) 630-2558 Get Directions Write a Review

NPPES record last updated: June 9, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cassidy Medical Group Inc. NPPES

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

CASSIDY MEDICAL GROUP INC. (NPI 1215003470) is a healthcare organization registered as a multi-specialty in Vista, California and active in the NPI registry since November 2006. The organization lists John M Bennett, President, as its authorized official.

NPPES Registry Identity

NPI1215003470
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCASSIDY MEDICAL GROUP INC.
Location Address145 THUNDER DRVista, CA 92083-6010
Mailing Address145 Thunder DrVista, CA 92083-6010 · (760) 630-5487 · Fax (760) 630-2558
Phone(760) 630-5487
Fax(760) 630-2558
Organization SubpartNo
Authorized OfficialJohn M BennettPresident · (760) 630-5487
Enumeration DateNovember 28, 2006
Last NPPES UpdateJune 9, 2010
✔ NPI 1215003470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
145 THUNDER DR, Vista, CA 92083
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Other Identifiers 11

Other3000CA · Neic Site Id, Nsf Ba0-7
OtherZZZ59748ZCA · Blue Cross Blue Shield Id
Medicare PINW14833CCA
Medicare PINW14833CA
Medicare PINCH4627CA
Other366026600CA · Department Of Labor Id
Medicare PINW14833ACA
OtherCAME25CA · Universal Id
MedicaidGR0060600CA
Medicare PINW14833DCA
Medicare PINW14833BCA

Other Providers at the Same Location NPPES 20

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

ERINN LEWIS DEGRACIA FNP
Nurse Practitioner (Family)
145 THUNDER DR
VISTA, CA 92083
San Diego County (760) 941-9002
MS. PAULA SORRENTINO PA-C
Physician Assistant (Medical)
145 THUNDER DR
VISTA, CA 92083
San Diego County (760) 630-5487
MRS. DEISHA MALONES WILSON D.O.
Family Medicine
145 THUNDER DR
VISTA, CA 92083
San Diego County (760) 941-9002
CASSIDY MEDICAL GROUP - RADIOLOGY
Radiology (Diagnostic Radiology)
145 THUNDER DR
VISTA, CA 92083
San Diego County (760) 630-5485
GARY L KOBAYASHI M.D.
Internal Medicine
145 THUNDER DR
VISTA, CA 92083
San Diego County (760) 630-5464
DR. DAVID SCOT ZIMMERMAN M.D.
Family Medicine
145 THUNDER DR
VISTA, CA 92083
San Diego County (760) 941-9002
DR. SIMONA C POP MD
Family Medicine
145 THUNDER DR
VISTA, CA 92083
San Diego County (760) 941-9002
ERIN C QUINN NPF
Nurse Practitioner
145 THUNDER DR
VISTA, CA 92083
San Diego County (760) 941-1440

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 Inc.'s NPI number?

The NPI number for Cassidy Medical Group Inc. is 1215003470. It was assigned to this organization in the NPPES registry on November 28, 2006.

Where is Cassidy Medical Group Inc. located?

Cassidy Medical Group Inc. is located at 145 Thunder Dr, Vista, CA 92083. The listed phone number is (760) 630-5487.

What is Cassidy Medical Group Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Cassidy Medical Group Inc. was last updated on June 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.