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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAN CARLOS MEDICAL GROUP

Active Organization

SAN CARLOS MEDICAL GROUP is a Family Medicine organization located in LA MESA, California. NPI 1528120250 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · LA MESA, CA

Registration Details

NPI Number
1528120250
Provider Type
Organization
NPI Issued
Dec 16, 2006 (19.479532300041 yrs)
Last Updated
Sep 11, 2025
Licenses
G36980 (CA)
G62330 (CA)
G73372 (CA)
A73439 (CA)
G71174 (CA)

Practice Information

Address
8881 FLETCHER PKWY
SUITE 105
LA MESA, CA, 919423134
Browse CA providers · Browse ZIP 91942
Phone
6194603311
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Additional Specialty
Family Medicine
Additional Specialty
Geriatric Medicine
Additional Specialty
Family Medicine
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.