MY FAMILY DOC
NPI 1336679356
Family Medicine in Carlsbad, CA

NPI Status: Active since June 13, 2017

Contact Information

1207 CARLSBAD VILLAGE DR STE A
CARLSBAD, CA
ZIP 92008
Phone: (760) 896-3030
Fax: (760) 896-3033

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  • Organization
  • Family Medicine
  • CLIA Number: 05D2164156
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-27-2027

About MY FAMILY DOC

This page provides the complete NPI Profile along with additional information for My Family Doc, a primary care provider established in Carlsbad, California operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1336679356 assigned on June 2017. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as My Family Doc. The authorized official of this NPI record is Ronald Nino M Perez Md (Md)

NPI
1336679356
Provider Legal Name
RONALD NINO M PEREZ M D PC
Other Organization Name
MY FAMILY DOC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1207 CARLSBAD VILLAGE DR STE A CARLSBAD, CA 92008
Location Phone
(760) 896-3030
Location Fax
(760) 896-3033
Mailing Address
2604-B EL CAMINO REAL #261 CARLSBAD, CA 92008
Mailing Phone
(760) 896-3030
Mailing Fax
(760) 896-3033
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-13-2017
Last Update Date
09-16-2024
Code Navigator

A primary care provider (PCP) like My Family Doc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RONALD NINO M PEREZ MD

Authorized Official Title
MD
Authorized Official Phone
(760) 896-3030

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
05D2164156
Facility Type
Physician Office
Certificate Effective Date
March 28, 2025
Certificate Expiration Date
March 27, 2027
Laboratory Director
RONALD M. PEREZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to My Family Doc 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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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336679356
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
236612718310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 2 + 7 + 1 + 8 + 3 + 1 + 0 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1336679356 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

DR. DAVID J TRACY D.D.S.

Dentist

(Oral and Maxillofacial Surgery)

1207 CARLSBAD VILLAGE DR STE A
CARLSBAD, CA
ZIP 92008

(760) 434-4301

DR. RONALD NINO MIRANDA PEREZ MD

Family Medicine

1207 CARLSBAD VILLAGE DR STE A
CARLSBAD, CA
ZIP 92008

(760) 896-3030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336679356, enumerated as an "organization" on June 13, 2017.

The provider is located at 1207 CARLSBAD VILLAGE DR STE A CARLSBAD, CA 92008 and the phone number is (760) 896-3030.

Family Medicine with taxonomy code 207Q00000X.