CASSIDY MEDICAL GROUP - OB-GYN
NPI 1881761047
Obstetrics & Gynecology in Vista, CA

Q: What is the provider's specialty?

The provider's specialty is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since November 30, 2006

145 THUNDER DR, VISTA, CA 92083(760) 941-1440(760) 630-5477 Get Directions Write a Review

NPPES record last updated: October 14, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Cassidy Medical Group - Ob-gyn NPPES

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

CASSIDY MEDICAL GROUP - OB-GYN (NPI 1881761047) is a healthcare organization registered as an obstetrics & gynecology in Vista, California and active in the NPI registry since November 2006. The organization lists Judith M Krueger, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1881761047

Entity TypeOrganization

Primary Taxonomy207V00000X

Legal Business NameCASSIDY MEDICAL GROUP - OB-GYN

Location Address145 THUNDER DRVista, CA 92083-6010

Mailing Address145 Thunder DrVista, CA 92083-6010 · (760) 941-1440 · Fax (760) 630-5477

Phone(760) 941-1440

Fax(760) 630-5477

Organization SubpartYesParent: Cassidy Medical Group

Authorized OfficialJudith M KruegerExecutive Director · (760) 630-5487

Enumeration DateNovember 30, 2006

Last NPPES UpdateOctober 14, 2010

✔ NPI 1881761047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

145 THUNDER DR, Vista, CA 92083

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Other Identifiers 4

Other3019CA · Neic Site Id, Nsf Bao-7

Medicare PINW14833CA

MedicaidGR0060601CA

Medicare PINCH4627CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP