SOCAL MEDICAL CLINICS
NPI 1467248252
General Practice in San Diego, CA
About Socal Medical Clinics NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOCAL MEDICAL CLINICS (NPI 1467248252), doing business as Revive Wound Group, is a healthcare organization registered as a general practice in San Diego, California and active in the NPI registry since April 2025. The organization lists Samuel Gerson, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Socal Medical Clinics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Socal Medical Clinics, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Socal Medical Clinics's NPI number?
The NPI number for Socal Medical Clinics is 1467248252. It was assigned to this organization in the NPPES registry on April 17, 2025. The provider is doing business as Revive Wound Group.
Where is Socal Medical Clinics located?
Socal Medical Clinics is located at 2878 Camino Del Rio S Ste 220, San Diego, CA 92108. The listed phone number is (619) 241-2191.
What is Socal Medical Clinics's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Socal Medical Clinics enrolled in Medicare?
Yes. Socal Medical Clinics is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Socal Medical Clinics?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Emergency Medicine) reassigns their Medicare billing to Socal Medical Clinics. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Socal Medical Clinics was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Socal Medical Clinics · NPI 1467248252
General Practice organization in San Diego, California. Organization record, active in the CMS NPPES registry since April 17, 2025.
## Identity
- **NPI:** 1467248252 (Entity type: Organization)
- **Enumerated:** April 17, 2025
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Also known as:** REVIVE WOUND GROUP (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Samuel Gerson, CEO
## Practice location
- **Address:** 2878 CAMINO DEL RIO S STE 220, San Diego, CA 92108-3845
- **Phone:** (619) 241-2191
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Emergency Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1467248252) · Data from the CMS NPPES public registry.