San Diego Primary Care Medical Group
NPI 1932257193ActiveOrganization· Family Medicine, Adult Medicine· San Diego, CA
Family Medicine, Adult Medicine in San Diego, California, registered in NPPES in January 2007. The authorized official on file is Gary Kenneth Boone, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1932257193 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 6, 2007 |
| Last updated in NPPES | Nov 11, 2024 |
| Certified by provider | Nov 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Adult Medicine Primary | 207QA0505X | G31968 | CA |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
Other Family Medicine, Adult Medicine providers in San Diego
- 1093262255
- 1629192091
- 1124307970
- 1851259584
- 1053670596
- 1871729962
- 1073543781
- 1063088656
- 1083639470
- 1811125099
- 1134258148
- 1649721150
All Family Medicine, Adult Medicine providers in California →