Advanced MD Medical Group Inc
NPI 1780128256ActiveOrganization· General Practice· San Diego, CA
General Practice in San Diego, California, registered in NPPES in December 2016. The authorized official on file is Dirk Kancilia, Administration.
Overview
| NPI | 1780128256 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 18, 2016 |
| Last updated in NPPES | Dec 18, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | G87969 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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