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: October 25, 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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Coast Family Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20050112001169Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to North Coast Family Medical Group, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Family Practice11
Osteopathic Manipulative Medicine1

Clinicians, nearest first (12)

Family Practice
NPI 1184686495
477 N EL CAMINO REAL A306
Encinitas, CA 92024
(760) 942-0118
✔ PECOSSame address
Family Practice
NPI 1164780052
477 N EL CAMINO REAL STE A306
Encinitas, CA 92024
(760) 942-0118
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1306808613
477 N EL CAMINO REAL A306
Encinitas, CA 92024
(760) 942-0118
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1821050758
477 N EL CAMINO REAL A306
Encinitas, CA 92024
(760) 942-0118
✔ PECOSSame address
Family Practice
NPI 1841252707
477 N EL CAMINO REAL A306
Encinitas, CA 92024
(760) 942-0118
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1366404212
477 N EL CAMINO REAL A306
Encinitas, CA 92024
(760) 942-0118
✔ PECOSSame address
Family Practice
NPI 1831345354
477 N EL CAMINO REAL SUITE A306
Encinitas, CA 92024
(760) 942-0118
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1790946408
477 N EL CAMINO REAL A306
Encinitas, CA 92024
(760) 942-0118
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1992767214
351 SANTA FE DR STE 220
Encinitas, CA 92024
(760) 701-5463
✔ PECOS✔ Accepts Medicare2.0 mi
Family Practice
NPI 1255441606
1550 BROADWAY STE 2
San Diego, CA 92101
(619) 515-2525
✔ PECOS✔ Accepts Medicare24 mi
Family Practice
NPI 1770287930
235 PALISADE DR
Santa Maria, CA 93454
(805) 739-3561
✔ PECOS223 mi
Osteopathic Manipulative Medicine
NPI 1114330727
101 SAND CREEK RD STE B
Brentwood, CA 94513
(925) 939-8585
✔ PECOS✔ Accepts Medicare420 mi

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 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.

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.

Is North Coast Family Medical Group enrolled in Medicare?

Yes. North Coast Family Medical Group is registered in the Medicare PECOS enrollment system.

When is North Coast Family Medical Group's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through North Coast Family Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to North Coast Family Medical Group. 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 Family Practice (11) and Osteopathic Manipulative Medicine (1). Of these, 8 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.