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NPI 1235671660ActiveOrganization· Internal Medicine· San Diego, CA
Internal Medicine in San Diego, California, registered in NPPES in November 2016. The authorized official on file is Tanille Logsdon, Specialist Network Manager.
Overview
| NPI | 1235671660 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 16, 2016 |
| Last updated in NPPES | Jul 7, 2023 |
| Certified by provider | Jul 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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