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SOUTH BAY INTERNAL MEDICINE AND FAMILY PRACTICE
NPI 1386914422
Non-Pharmacy Dispensing Site in San Diego, CA

Active since January 06, 2012
374 H STREET, 202, SAN DIEGO, CA 92107(619) 426-4546 Get Directions Write a Review

NPPES record last updated: October 25, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Bay Internal Medicine And Family Practice NPPES

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

SOUTH BAY INTERNAL MEDICINE AND FAMILY PRACTICE (NPI 1386914422) is a healthcare organization registered as a non-pharmacy dispensing site in San Diego, California and active in the NPI registry since January 2012. The organization lists Kenny Heine, Sr Director Ops, as its authorized official.

NPPES Registry Identity

NPI1386914422
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameSOUTH BAY INTERNAL MEDICINE AND FAMILY PRACTICE
Location Address374 H STREET, 202San Diego, CA 92107
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(619) 426-4546
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineSr Director Ops · (858) 625-2990
Enumeration DateJanuary 6, 2012
Last NPPES UpdateOctober 25, 2012
✔ NPI 1386914422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in CA · G84802
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
374 H STREET, San Diego, CA 92107
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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 South Bay Internal Medicine And Family Practice's NPI number?

The NPI number for South Bay Internal Medicine And Family Practice is 1386914422. It was assigned to this organization in the NPPES registry on January 6, 2012.

Where is South Bay Internal Medicine And Family Practice located?

South Bay Internal Medicine And Family Practice is located at 374 H Street 202, San Diego, CA 92107. The listed phone number is (619) 426-4546.

What is South Bay Internal Medicine And Family Practice's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for South Bay Internal Medicine And Family Practice was last updated on October 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.