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NUCLEUS MEDICAL GROUP
NPI 1003402264
Family Medicine in San Diego, CA

Active since December 11, 2020CLIA 05D2204887 · Waiver
4570 EXECUTIVE DR STE 100, SAN DIEGO, CA 92121(844) 838-3322 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 16, 2023, Nov 8, 2023, Dec 11, 2020 (3 updates tracked since 2020).

About Nucleus Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NUCLEUS MEDICAL GROUP (NPI 1003402264) is a healthcare organization registered as a family medicine in San Diego, California and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through December 9, 2026 and lists David Karow, President, as its authorized official.

NPPES Registry Identity

NPI1003402264
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNUCLEUS MEDICAL GROUP
Location Address4570 EXECUTIVE DR STE 100San Diego, CA 92121-3074
Mailing Address4570 Executive Dr Ste 100San Diego, CA 92121-3074 · (844) 838-3322
Phone(844) 838-3322
Organization SubpartNo
Authorized OfficialDavid KarowPresident · (858) 361-5779
Enumeration DateDecember 11, 2020
Last NPPES UpdateNovember 16, 20233 updates tracked since enumeration
NPPES CertifiedNovember 16, 2023
✔ NPI 1003402264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedMedical Genetics · Clinical Genetics (M.D.)Taxonomy 207SG0201X
Also ListedPediatricsTaxonomy 208000000X
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
4570 EXECUTIVE DR STE 100, San Diego, CA 92121
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2204887

Nucleus Medical Group, Inc. · San Diego, CA
Active · expires Dec 9, 2026
CLIA Number05D2204887
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateDecember 10, 2024
Certificate Expiration DateDecember 9, 2026
Laboratory DirectorKeith K. Vaux
Laboratory Phone(858) 295-4892
Laboratory LocationNucleus Medical Group, Inc.4570 Executive Dr, Suite 100, San Diego, CA 92121
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nucleus Medical Group's NPI number?

The NPI number for Nucleus Medical Group is 1003402264. It was assigned to this organization in the NPPES registry on December 11, 2020.

Where is Nucleus Medical Group located?

Nucleus Medical Group is located at 4570 Executive Dr Ste 100, San Diego, CA 92121. The listed phone number is (844) 838-3322.

What is Nucleus Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Nucleus Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2204887) is associated with this NPI, valid through December 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Nucleus Medical Group was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.