| Cardinal Medical Center, Inc | |
|
31457 Lake Vista Cir Bonsall CA 92003-5308 | |
| (760) 717-3450 | |
| Not Available |
| Full Name | Cardinal Medical Center, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 31457 Lake Vista Cir, Bonsall, California |
| Authorized Official Name and Position | Gina Pinhiero (ADMINISTRATOR) |
| Authorized Official Contact | 7144030199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cardinal Medical Center, Inc 31457 Lake Vista Cir Bonsall CA 92003-5308 Ph: (760) 941-8888 | Cardinal Medical Center, Inc 31457 Lake Vista Cir Bonsall CA 92003-5308 Ph: (760) 717-3450 |
| NPI Number | 1396924205 |
|---|---|
| Provider Enumeration Date | 10/26/2007 |
| Last Update Date | 06/10/2025 |
| Medicare PECOS PAC ID | 3577647569 |
|---|---|
| Medicare Enrollment ID | O20080229000139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396924205 | NPI | - | NPPES |
| W21766 | Other | CA | MEDICARE PTAN |
| 00A438080 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A43808 (California) | Secondary |
| 207QG0300X | Family Medicine - Geriatric Medicine | A43808 (California) | Primary |
| Provider Name | Jeffrey Newman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922082189 PECOS PAC ID: 8022044742 Enrollment ID: I20080229000150 |
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