NORTH COAST FAMILY MEDICAL GROUP
NPI 1356569834
General Practice in Encinitas, CA

Active since April 23, 2007CLIA 05D0566594 · Microscopy
477 N. EL CAMINO REAL, A306, ENCINITAS, CA 92024(760) 942-0118(760) 942-5319 Get Directions Write a Review

NPPES record last updated: June 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About North Coast Family Medical Group NPPES

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

NORTH COAST FAMILY MEDICAL GROUP (NPI 1356569834) is a healthcare organization registered as a general practice in Encinitas, California and active in the NPI registry since April 2007. The organization holds a CLIA Microscopy certificate valid through August 6, 2027 and lists Craig S Duck, Ceo, as its authorized official.

NPPES Registry Identity

NPI1356569834
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameNORTH COAST FAMILY MEDICAL GROUP
Location Address477 N. EL CAMINO REAL, A306Encinitas, CA 92024-1350
Mailing Address477 N. El Camino Real, A306Encinitas, CA 92024-1350 · (760) 942-0118 · Fax (760) 942-5319
Fax(760) 942-5319
Organization SubpartNo
Authorized OfficialCraig S DuckCeo · (760) 942-0118
Enumeration DateApril 23, 2007
Last NPPES UpdateJune 19, 2014
NPI 1356569834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in CA · G50467
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
477 N. EL CAMINO REAL, Encinitas, CA 92024

Other Identifiers 1

Medicare ID-Type UnspecifiedW13521CA · Group Provider #

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 for Provider-Performed Microscopy Procedures (PPMP) 05D0566594

North Coast Family Medical Group, Inc · Encinitas, CA
Active · expires Aug 6, 2027
CLIA Number05D0566594
Laboratory TypePhysician Office
Certificate Effective DateAugust 7, 2025
Certificate Expiration DateAugust 6, 2027
Laboratory DirectorAmy C. Kakimotot MD
Laboratory Phone(760) 942-0118
Laboratory LocationNorth Coast Family Medical Group, Inc477 N El Camino Real Ste A 306, Encinitas, CA 92024
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
477 N. EL CAMINO REAL, STE D200
ENCINITAS, CA 92024

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 North Coast Family Medical Group's NPI number?

The NPI number for North Coast Family Medical Group is 1356569834. It was assigned to this organization in the NPPES registry on April 23, 2007.

Where is North Coast Family Medical Group located?

North Coast Family Medical Group is located at 477 N. El Camino Real A306, Encinitas, CA 92024. The listed phone number is (760) 942-0118.

What is North Coast Family Medical Group's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does North Coast Family Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0566594) is associated with this NPI, valid through August 6, 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 North Coast Family Medical Group was last updated on June 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.