CARLSBAD VILLAGE FAMILY PRACTICE MEDICAL ASSOCIATES, INC
NPI 1366872681
Family Medicine in Carlsbad, CA

Active since November 22, 2013CLIA 05D1019007 · Waiver
2801 JEFFERSON ST, CARLSBAD, CA 92008(760) 729-4952(760) 729-1518 Get Directions Write a Review

NPPES record last updated: November 22, 2013. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Carlsbad Village Family Practice Medical Associates, Inc NPPES

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

CARLSBAD VILLAGE FAMILY PRACTICE MEDICAL ASSOCIATES, INC (NPI 1366872681) is a healthcare organization registered as a family medicine in Carlsbad, California and active in the NPI registry since November 2013. The organization holds a CLIA Waiver certificate valid through May 6, 2028 and lists Michelle Jones, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1366872681
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCARLSBAD VILLAGE FAMILY PRACTICE MEDICAL ASSOCIATES, INC
Location Address2801 JEFFERSON STCarlsbad, CA 92008-1720
Mailing Address2801 Jefferson StCarlsbad, CA 92008-1720 · (760) 729-4952 · Fax (760) 729-1518
Fax(760) 729-1518
Organization SubpartNo
Authorized OfficialMichelle JonesOffice Manager · (760) 729-4952
Enumeration DateNovember 22, 2013
✔ NPI 1366872681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A6683
Definition
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.
2801 JEFFERSON ST, Carlsbad, CA 92008

Other Identifiers 1

MedicaidGR0098810CA

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 of Waiver 05D1019007

Carlsbad Village Family Practice Medical Associates Inc · Carlsbad, CA
Active · expires May 6, 2028
CLIA Number05D1019007
Laboratory TypePhysician Office
Certificate Effective DateMay 7, 2026
Certificate Expiration DateMay 6, 2028
Laboratory DirectorMahyar Ajir
Laboratory Phone(760) 729-4952
Laboratory LocationCarlsbad Village Family Practice Medical Associates Inc2801 Jefferson St, Carlsbad, CA 92008
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Dermatology
2801 JEFFERSON ST
CARLSBAD, CA 92008
Family Medicine
2801 JEFFERSON ST
CARLSBAD, CA 92008
Family Medicine
2801 JEFFERSON ST
CARLSBAD, CA 92008
Family Medicine
2801 JEFFERSON ST
CARLSBAD, CA 92008
Family Medicine
2801 JEFFERSON ST
CARLSBAD, CA 92008

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 Carlsbad Village Family Practice Medical Associates, Inc's NPI number?

The NPI number for Carlsbad Village Family Practice Medical Associates, Inc is 1366872681. It was assigned to this organization in the NPPES registry on November 22, 2013.

Where is Carlsbad Village Family Practice Medical Associates, Inc located?

Carlsbad Village Family Practice Medical Associates, Inc is located at 2801 Jefferson St, Carlsbad, CA 92008. The listed phone number is (760) 729-4952.

What is Carlsbad Village Family Practice Medical Associates, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Carlsbad Village Family Practice Medical Associates, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1019007) is associated with this NPI, valid through May 6, 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 Carlsbad Village Family Practice Medical Associates, Inc was last updated on November 22, 2013. 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.