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LEGACY MEDICAL GROUP, INC.
NPI 1083112247
Clinic/Center - Multi-Specialty in San Diego, CA

Active since January 23, 2018
292 EUCLID AVE STE 210, SAN DIEGO, CA 92114(619) 262-2224 Get Directions Write a Review

NPPES record last updated: February 20, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Legacy Medical Group, Inc. NPPES

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

LEGACY MEDICAL GROUP, INC. (NPI 1083112247) is a healthcare organization registered as a multi-specialty in San Diego, California and active in the NPI registry since January 2018. The organization lists Ralph Hernandez, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1083112247
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameLEGACY MEDICAL GROUP, INC.
Location Address292 EUCLID AVE STE 210San Diego, CA 92114-3629
Mailing Address292 Euclid Ave Ste 210San Diego, CA 92114-3629
Phone(619) 262-2224
Organization SubpartNo
Authorized OfficialRalph HernandezExecutive Director · (619) 733-5192
Enumeration DateJanuary 23, 2018
Last NPPES UpdateFebruary 20, 2018
✔ NPI 1083112247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
292 EUCLID AVE STE 210, San Diego, CA 92114
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Other Providers at the Same Location NPPES 11

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

JOYCE MARIE MOORE NA
Health Educator
292 EUCLID AVE STE 210
SAN DIEGO, CA 92114
San Diego County (619) 729-2145
CHEROLYN JACKSON
Health Educator
292 EUCLID AVE STE 210
SAN DIEGO, CA 92114
San Diego County (619) 266-3665
ALICE M BRONER
Health Educator
292 EUCLID AVE STE 210
SAN DIEGO, CA 92114
San Diego County (619) 266-3665
MULTICULTURAL HEALTH FOUNDATION
Community/Behavioral Health
292 EUCLID AVE STE 210
SAN DIEGO, CA 92114
San Diego County (619) 266-3664
ROSAMARIA BARRIENTOS ORTEGA LIFESTYLE COACH
Health Educator
292 EUCLID AVE STE 210
SAN DIEGO, CA 92114
San Diego County (619) 266-3665
MONTRULA DONALDSON RN, BSN
Health Educator
292 EUCLID AVE STE 210
SAN DIEGO, CA 92114
San Diego County (619) 266-3665
CYNTHIA AJANI
Health Educator
292 EUCLID AVE STE 210
SAN DIEGO, CA 92114
San Diego County (619) 634-6110
DR. ELI MARRETTE WATTS MD
Internal Medicine
292 EUCLID AVE STE 210
SAN DIEGO, CA 92114
San Diego County (619) 662-4100

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 Legacy Medical Group, Inc.'s NPI number?

The NPI number for Legacy Medical Group, Inc. is 1083112247. It was assigned to this organization in the NPPES registry on January 23, 2018.

Where is Legacy Medical Group, Inc. located?

Legacy Medical Group, Inc. is located at 292 Euclid Ave Ste 210, San Diego, CA 92114. The listed phone number is (619) 262-2224.

What is Legacy Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Legacy Medical Group, Inc. was last updated on February 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.