PACIFIC ENT MEDICAL GROUP, INC.
NPI 1336249135
Otolaryngology in Carlsbad, CA
- Organization
- Otolaryngology
- CLIA Number: 05D2192835
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-14-2026
About PACIFIC ENT MEDICAL GROUP, INC.
This page provides the complete NPI Profile along with additional information for Pacific Ent Medical Group, Inc., a provider established in Carlsbad, California operating as a Otolaryngology. The healthcare provider is registered in the NPI registry with number 1336249135 assigned on September 2006. The practitioner's primary taxonomy code is 207Y00000X with license number G51656 (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Cynthia R. Davis M.d. (President)
- NPI
- 1336249135 Verify this NPI
- Provider Name
- PACIFIC ENT MEDICAL GROUP, INC.
- Entity Type
- Organization
- Location Address
- 6010 HIDDEN VALLEY RD STE 210 CARLSBAD, CA 92011
- Location Phone
- (858) 755-9343
- Location Fax
- (858) 792-1790
- Mailing Address
- 6010 HIDDEN VALLEY RD STE 210 CARLSBAD, CA 92011
- Mailing Phone
- (858) 755-9343
- Mailing Fax
- (858) 792-1790
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-22-2006
- Last Update Date
- 02-23-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Otolaryngology
- Taxonomy Code
- 207Y00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G51656
- License State
- CA
- Taxonomy Description
- An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2192835
- Facility Type
- Physician Office
- Certificate Effective Date
- September 15, 2024
- Certificate Expiration Date
- September 14, 2026
- Laboratory Director
- MOSES D. SALGADO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pacific Ent Medical Group, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
CARLSBAD, CA 92011
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336249135, enumerated as an "organization" on September 22, 2006.
The provider is located at 6010 HIDDEN VALLEY RD STE 210 CARLSBAD, CA 92011 and the phone number is (858) 755-9343.
Otolaryngology with taxonomy code 207Y00000X.
