INTERNAL MEDI CINE ASSOCIATES MEDICAL GROUP OF SAN DIEGO, INC
NPI 1528152105
Internal Medicine in San Diego, CA

Active since October 03, 2006
3260 THIRD AVE, SAN DIEGO, CA 92103(619) 297-3737(619) 297-0443 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Internal Medi Cine Associates Medical Group Of San Diego, Inc NPPES

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

INTERNAL MEDI CINE ASSOCIATES MEDICAL GROUP OF SAN DIEGO, INC (NPI 1528152105) is a healthcare organization registered as an internal medicine in San Diego, California and active in the NPI registry since October 2006. The organization lists Paul Fredrick Speckart, President, as its authorized official.

NPPES Registry Identity

NPI1528152105
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINTERNAL MEDI CINE ASSOCIATES MEDICAL GROUP OF SAN DIEGO, INC
Location Address3260 THIRD AVESan Diego, CA 92103
Mailing Address3260 Third AveSan Diego, CA 92103 · (619) 297-3737 · Fax (619) 297-0443
Fax(619) 297-0443
Organization SubpartNo
Authorized OfficialPaul Fredrick SpeckartPresident · (619) 297-3737
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 3, 2024
NPPES CertifiedJuly 3, 2024
✔ NPI 1528152105 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 · C31776
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.
3260 THIRD AVE, San Diego, CA 92103

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Internal Medi Cine Associates Medical Group Of San Diego, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20040203001142Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Internal Medi Cine Associates Medical Group Of San Diego, Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Internal Medicine
NPI 1366404923
3260 3RD AVE
San Diego, CA 92103
(619) 297-3737
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1669630521
3260 3RD AVE
San Diego, CA 92103
(619) 297-3737
✔ PECOS✔ Accepts MedicareSame address
Endocrinology
NPI 1447346192
3260 3RD AVE
San Diego, CA 92103
(619) 297-3737
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1831151992
4060 FOURTH AVE # 335
San Diego, CA 92103
(619) 291-9285
✔ PECOS✔ Accepts Medicare0.8 mi
Internal Medicine
NPI 1801417720
4077 FIFTH AVE # MER35
San Diego, CA 92103
(619) 294-8111
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1356224869
5080 SHOREHAM PL STE 105
San Diego, CA 92122
(858) 565-2499
✔ PECOS7.9 mi
Internal Medicine
NPI 1003885302
790 EAST BONITA AVE 2ND FLOOR
Pomona, CA 91767
(909) 447-8585
✔ PECOS✔ Accepts Medicare99 mi

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 Internal Medi Cine Associates Medical Group Of San Diego, Inc's NPI number?

The NPI number for Internal Medi Cine Associates Medical Group Of San Diego, Inc is 1528152105. It was assigned to this organization in the NPPES registry on October 3, 2006.

Where is Internal Medi Cine Associates Medical Group Of San Diego, Inc located?

Internal Medi Cine Associates Medical Group Of San Diego, Inc is located at 3260 Third Ave, San Diego, CA 92103. The listed phone number is (619) 297-3737.

What is Internal Medi Cine Associates Medical Group Of San Diego, Inc's specialty?

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

Is Internal Medi Cine Associates Medical Group Of San Diego, Inc enrolled in Medicare?

Yes. Internal Medi Cine Associates Medical Group Of San Diego, Inc is registered in the Medicare PECOS enrollment system.

When is Internal Medi Cine Associates Medical Group Of San Diego, Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Internal Medi Cine Associates Medical Group Of San Diego, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Internal Medi Cine Associates Medical Group Of San Diego, 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 Internal Medicine (5), Endocrinology (1) and Nurse Practitioner (1). Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Internal Medi Cine Associates Medical Group Of San Diego, Inc was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.