North County Internists Medical Corporation
Non-pharmacy Dispensing Site
15721 Pomerado Rd, Poway
California, 92064-2021
858-485-7454 North County Internists Medical Corporation is a Non-pharmacy Dispensing Site in Poway, California. This organization is also known as sub part of Medvantx, Inc.. It is located at 15721 Pomerado Rd, Poway and it's customer support contact number is 858-485-7454. The authorized person of North County Internists Medical Corporation is Scott Peterson who is Cfo of the pharmacy and his contact number is 858-625-2990. Active license number of North County Internists Medical Corporation is G24300 for Non-pharmacy Dispensing Site in California. North County Internists Medical Corporation accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
North County Internists Medical Corporation is 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.)
Pharmacy Details:
North County Internists Medical Corporation type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | North County Internists Medical Corporation |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 15721 Pomerado Rd, Poway,
California, 92064-2021 |
| Phone: | 858-485-7454 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Scott Peterson |
| Position: | Cfo |
| Contact Number: | 858-625-2990 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1790827418 |
| Parent Organization: | Medvantx, Inc. |
| NPI Enumeration Date: | 12 Feb, 2007 |
| NPI Last Update On: | 13 Jan, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for North County Internists Medical Corporation are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | G24300 | California | Primary | |
Medicare Enrollment:
North County Internists Medical Corporation is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0143260968 | O20050510001252 | North County Internists Medical Corporation | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 9276 Scranton Rd, Suite 100
San Diego, California |
| Zip: | 92121-7701 |
| Phone Number: | -- |
Patients can reach North County Internists Medical Corporation at
15721 Pomerado Rd, Poway, California or can
call on customer care at 858-485-7454.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.