NORTH COUNTY INTERNISTS MEDICAL CORPORATION
NPI 1790827418
Non-Pharmacy Dispensing Site in Poway, CA

Q: What is North County Internists Medical Corporation's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Active since February 12, 2007

15721 POMERADO RD, POWAY, CA 92064(858) 485-7454 Get Directions Write a Review

NPPES record last updated: January 13, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About North County Internists Medical Corporation NPPES

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

NORTH COUNTY INTERNISTS MEDICAL CORPORATION (NPI 1790827418) is a healthcare organization registered as a non-pharmacy dispensing site in Poway, California and active in the NPI registry since February 2007. The organization lists Scott Peterson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1790827418

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameNORTH COUNTY INTERNISTS MEDICAL CORPORATION

Location Address15721 POMERADO RDPoway, CA 92064-2021

Mailing Address9276 Scranton Rd, Suite 100San Diego, CA 92121-7701

Phone(858) 485-7454

Organization SubpartYesParent: Medvantx, Inc.

Authorized OfficialScott PetersonCfo · (858) 625-2990

Enumeration DateFebruary 12, 2007

Last NPPES UpdateJanuary 13, 2017

✔ NPI 1790827418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

License✔ Licensed in CA · G24300

Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

15721 POMERADO RD, Poway, CA 92064

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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) 05D0917071

North County Internists Medical Corp · Poway, CA

Expired · Jul 8, 2026

CLIA Number05D0917071

Laboratory TypePhysician Office

Certificate Effective DateJuly 9, 2024

Certificate Expiration DateJuly 8, 2026

Laboratory DirectorStuart D. Klein

Laboratory Phone(858) 776-8369

Laboratory LocationNorth County Internists Medical Corp15525 Pomerado Rd Ste A1, Poway, CA 92064

CLIA data matches this NPI record on: Name

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 7

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

VIRTUE MEDICAL

Clinic/Center (Primary Care)