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PRESIDIO MEDICAL GROUP INC
NPI 1003996216
Family Medicine in San Diego, CA

Active since October 16, 2006
4440 LAMONT ST, SAN DIEGO, CA 92109(858) 270-7633(858) 270-7692 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Presidio Medical Group Inc NPPES

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

PRESIDIO MEDICAL GROUP INC (NPI 1003996216) is a healthcare organization registered as a family medicine in San Diego, California and active in the NPI registry since October 2006. The organization lists James A Novak, President, as its authorized official.

NPPES Registry Identity

NPI1003996216
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRESIDIO MEDICAL GROUP INC
Location Address4440 LAMONT STSan Diego, CA 92109-4560
Mailing Address4440 Lamont StSan Diego, CA 92109-4560 · (858) 270-7633 · Fax (858) 270-7692
Phone(858) 270-7633
Fax(858) 270-7692
Organization SubpartNo
Authorized OfficialJames A NovakPresident · (858) 272-0022
Enumeration DateOctober 16, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1003996216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
4440 LAMONT ST, San Diego, CA 92109
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAMELA LYNNE FEROLIE
Nurse Practitioner
4440 LAMONT ST
SAN DIEGO, CA 92109
San Diego County (858) 272-0022
NOVAK MEDICAL GROUP, INC.
Family Medicine
4440 LAMONT ST
SAN DIEGO, CA 92109
San Diego County (858) 272-0022
PANNELL L CARR M.D.
Internal Medicine
4440 LAMONT ST
SAN DIEGO, CA 92109
San Diego County (858) 272-0022

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 Presidio Medical Group Inc's NPI number?

The NPI number for Presidio Medical Group Inc is 1003996216. It was assigned to this organization in the NPPES registry on October 16, 2006.

Where is Presidio Medical Group Inc located?

Presidio Medical Group Inc is located at 4440 Lamont St, San Diego, CA 92109. The listed phone number is (858) 270-7633.

What is Presidio Medical Group Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Presidio Medical Group Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.