Basic Information
| Provider Information | |||||||||
| NPI: | 1265462196 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MCFARLAND | ||||||||
| FirstName: | NATHAN | ||||||||
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| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 425 N DATE ST | ||||||||
| Address2: | |||||||||
| City: | ESCONDIDO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920253413 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7607372035 | ||||||||
| FaxNumber: | 7607412782 | ||||||||
| Practice Location | |||||||||
| Address1: | 10039 VINE ST | ||||||||
| Address2: | |||||||||
| City: | LAKESIDE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920403130 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6193909975 | ||||||||
| FaxNumber: | 6193908721 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/04/2006 | ||||||||
| LastUpdateDate: | 06/01/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | A75411 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | 208000000X | A75411 | CA | N | Allopathic & Osteopathic Physicians | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | W14158 | 01 | CA | MEDICARE GROUP ID | OTHER |