# TRI-CITY PRIMARY CARE MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518364165
- **Authorized official:** DEANINE DOLPHIN (BILLING & COLLECTIONS MANAGER)
- **Authorized official phone:** (760) 477-2101

## Contact information

- **Practice address:** 1926 VIA CENTRE DRIVE, STE A, VISTA, CA 92081-6056
- **Practice address phone:** (760) 940-7000
- **Practice address fax:** (760) 940-0042
- **Mailing address:** 1926 VIA CENTRE DRIVE, STE A, VISTA, CA 92081-6056
- **Mailing address phone:** (760) 940-7000
- **Mailing address fax:** (760) 940-0042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |

## Other

- **Enumeration date:** 11/25/2014
- **Last updated:** 05/28/2025