Individual ProviderDavid CaguaClinic/CenterAmbulatory Health Care FacilitiesPractice Address200 Mercy Circle, Oceanside, CA 92055(760) 725-1288PECOS EnrollmentBased on the most recent information from CMS, provider David Cagua does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1780304378Provider TypeIndividualFull NameCagua, DavidCredentialSFIDCGenderMaleSole ProprietorYesEnumeration Date9/1/2022Last Updated2/20/2023Contact InformationPractice LocationPractice Address200 Mercy Circle, Oceanside, CA 92055Phone(760) 725-1288FaxUnlisted FaxMailing LocationMailing Address200 Mercy Circle, Oceanside, CA 92055Phone(760) 725-1288FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode261QM1100XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted IssuerCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer