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NPI 1124307970ActiveOrganization· Family Medicine, Adult Medicine· San Diego, CA
Family Medicine, Adult Medicine in San Diego, California, registered in NPPES in August 2011. The authorized official on file is Kenneth L. Anderson, D.O., Ceo.
Overview
| NPI | 1124307970 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 11, 2011 |
| Last updated in NPPES | Jan 18, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Adult Medicine Primary | 207QA0505X | 20A5441 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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