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GENESEE MEDICAL GROUP INC
NPI 1043480320
Internal Medicine in San Diego, CA

Active since March 03, 2008CLIA 05D0570833 · Waiver
7830 CLAIREMONT MESA BLVD, SUITE 100, SAN DIEGO, CA 92111(858) 268-1111(858) 268-0761 Get Directions Write a Review

NPPES record last updated: April 29, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Genesee Medical Group Inc NPPES

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

GENESEE MEDICAL GROUP INC (NPI 1043480320) is a healthcare organization registered as an internal medicine in San Diego, California and active in the NPI registry since March 2008. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Donald P Tecca, Owner, as its authorized official.

NPPES Registry Identity

NPI1043480320
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGENESEE MEDICAL GROUP INC
Location Address7830 CLAIREMONT MESA BLVD, SUITE 100San Diego, CA 92111-1619
Mailing Address7830 Clairemont Mesa Blvd, Suite 100San Diego, CA 92111-1619 · (858) 268-1111 · Fax (858) 268-0761
Phone(858) 268-1111
Fax(858) 268-0761
Organization SubpartNo
Authorized OfficialDonald P TeccaOwner · (858) 268-1111
Enumeration DateMarch 3, 2008
Last NPPES UpdateApril 29, 2020
NPPES CertifiedApril 29, 2020
✔ NPI 1043480320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · G45791
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
7830 CLAIREMONT MESA BLVD, San Diego, CA 92111
Open in Google Maps ↗

Other Identifiers 2

Other0010860CA · Medicaid Group
OtherWG45791AMedicare Group

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Genesee Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Genesee Medical Group Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Tam Tran, MD
Family Practice
NPI 1245767037
7830 CLAIREMONT MESA BLVD STE 100
San Diego, CA 92111
(858) 268-1111
✔ PECOS✔ Accepts MedicareSame address
Jaafar Al-Dahwi, MD
Internal Medicine
NPI 1639551435
3880 MURPHY CANYON RD STE 120
San Diego, CA 92123
(858) 268-1111
✔ PECOS✔ Accepts Medicare2.4 mi
Lyndsey Brown, FNP-C
Nurse Practitioner
NPI 1699485664
3880 MURPHY CANYON RD STE 120
San Diego, CA 92123
(858) 268-1111
✔ PECOS✔ Accepts Medicare2.4 mi
Jeffrey Dysart, M.D.
Family Practice
NPI 1154361558
3880 MURPHY CANYON RD STE 120
San Diego, CA 92123
(858) 268-1111
✔ PECOS✔ Accepts Medicare2.4 mi
Jennifer Maneffa, MSN, APRN, FNP-C
Nurse Practitioner
NPI 1770180028
4829 CLAIREMONT DR
San Diego, CA 92117
(858) 273-5300
✔ PECOS✔ Accepts Medicare3.1 mi
Alhussain Saeed, MD
Internal Medicine
NPI 1144964685
751 MEDICAL CENTER CT
Chula Vista, CA 91911
(619) 502-5800
✔ PECOS✔ Accepts Medicare17 mi
Joy Le, RN
Nurse Practitioner
NPI 1790571883
1253 BARTLEY PL
Escondido, CA 92026
(760) 877-4439
✔ PECOS23 mi
Summer Pillsbury, FNP
Nurse Practitioner
NPI 1205526639
1180 BEACON ST
Brookline, MA 02446
(617) 396-8005
✔ PECOS✔ Accepts Medicare2,577 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 05D0570833

Genesee Medical Group · San Diego, CA
Active · expires Aug 31, 2028
CLIA Number05D0570833
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorJeffrey H. Dysart
Laboratory Phone(858) 268-1111
Laboratory LocationGenesee Medical Group3880 Murphy Canyon Rd Ste 120, San Diego, CA 92123
CLIA data matches this NPI record on: Name Phone
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 Genesee Medical Group Inc's NPI number?

The NPI number for Genesee Medical Group Inc is 1043480320. It was assigned to this organization in the NPPES registry on March 3, 2008.

Where is Genesee Medical Group Inc located?

Genesee Medical Group Inc is located at 7830 Clairemont Mesa Blvd Suite 100, San Diego, CA 92111. The listed phone number is (858) 268-1111.

What is Genesee Medical Group Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Genesee Medical Group Inc enrolled in Medicare?

Yes. Genesee Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Genesee Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Genesee Medical Group Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4), Family Practice (2) and Internal Medicine (2). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Genesee Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0570833) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Genesee Medical Group Inc was last updated on April 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.