PACIFIC ENT MEDICAL GROUP, INC.
NPI 1336249135
Otolaryngology in Carlsbad, CA
About Pacific Ent Medical Group, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PACIFIC ENT MEDICAL GROUP, INC. (NPI 1336249135) is a healthcare organization registered as an otolaryngology in Carlsbad, California and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through September 14, 2028 and lists Cynthia R. Davis, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 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)
Pacific Ent Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Pacific Ent Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
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 05D2192835
Pacific Ent Medical Group · Carlsbad, 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 Pacific Ent Medical Group, Inc.'s NPI number?
The NPI number for Pacific Ent Medical Group, Inc. is 1336249135. It was assigned to this organization in the NPPES registry on September 22, 2006.
Where is Pacific Ent Medical Group, Inc. located?
Pacific Ent Medical Group, Inc. is located at 6010 Hidden Valley Rd Ste 210, Carlsbad, CA 92011. The listed phone number is (858) 755-9343.
What is Pacific Ent Medical Group, Inc.'s specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Pacific Ent Medical Group, Inc. enrolled in Medicare?
Yes. Pacific Ent Medical Group, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pacific Ent Medical Group, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Pacific Ent Medical Group, Inc.. 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. The largest specialties are Otolaryngology (3) and Qualified Audiologist (2). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pacific Ent Medical Group, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2192835) is associated with this NPI, valid through September 14, 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 Pacific Ent Medical Group, Inc. was last updated on February 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Pacific Ent Medical Group, Inc. · NPI 1336249135
Otolaryngology organization in Carlsbad, California. Organization record, active in the CMS NPPES registry since September 22, 2006.
## Identity
- **NPI:** 1336249135 (Entity type: Organization)
- **Enumerated:** September 22, 2006
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **Organization subpart:** No
- **Authorized official:** Cynthia Davis, PRESIDENT
## Practice location
- **Address:** 6010 HIDDEN VALLEY RD STE 210, Carlsbad, CA 92011-4219
- **Phone:** (858) 755-9343 · **Fax:** (858) 792-1790
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Otolaryngology (3), Qualified Audiologist (2); 5 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 23, 2021
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1336249135) · Data from the CMS NPPES public registry.