Balboa Park Internal Medicine, Medical Associates Inc
NPI 1679620868ActiveOrganization· Specialist· San Diego, CA
Specialist in San Diego, California, registered in NPPES in January 2007. The authorized official on file is Gary Woodall, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1679620868 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 3, 2007 |
| Last updated in NPPES | Apr 27, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | A54031 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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