MY PRIMARY CARE
NPI 1629869573
Family Medicine in San Diego, CA

Active since May 12, 2025
3111 CAMINO DEL RIO N STE 452, SAN DIEGO, CA 92108(760) 662-8659 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 21, 2025, May 12, 2025 (2 updates tracked since 2025).

About My Primary Care NPPES

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

MY PRIMARY CARE (NPI 1629869573) is a healthcare organization registered as a family medicine in San Diego, California and active in the NPI registry since May 2025. The organization lists Adam K Pasilas, Chief Operations Officer, as its authorized official.

NPPES Registry Identity

NPI1629869573
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMY PRIMARY CARE
Location Address3111 CAMINO DEL RIO N STE 452San Diego, CA 92108-5720
Mailing Address1741 Eastlake Pkwy Ste 102-305Chula Vista, CA 91915-2032 · (760) 662-8659
Organization SubpartNo
Authorized OfficialAdam K PasilasChief Operations Officer · (760) 662-8659
Enumeration DateMay 12, 2025
Last NPPES UpdateMay 21, 20252 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
✔ NPI 1629869573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3111 CAMINO DEL RIO N STE 452, San Diego, CA 92108

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)

My Primary Care 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 My Primary Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1366558322
2001 4TH AVE
San Diego, CA 92101
(858) 499-2717
✔ PECOS3.8 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 My Primary Care's NPI number?

The NPI number for My Primary Care is 1629869573. It was assigned to this organization in the NPPES registry on May 12, 2025.

Where is My Primary Care located?

My Primary Care is located at 3111 Camino Del Rio N Ste 452, San Diego, CA 92108. The listed phone number is (760) 662-8659.

What is My Primary Care's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is My Primary Care enrolled in Medicare?

Yes. My Primary Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through My Primary Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to My Primary Care. 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 My Primary Care was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.