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OCEAN BEACH MEDICAL GROUP
NPI 1699032938
Non-Pharmacy Dispensing Site in San Diego, CA

Active since April 11, 2012
1947 CABLE ST, SAN DIEGO, CA 92107(619) 223-7164 Get Directions Write a Review

NPPES record last updated: October 25, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ocean Beach Medical Group NPPES

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

OCEAN BEACH MEDICAL GROUP (NPI 1699032938) is a healthcare organization registered as a non-pharmacy dispensing site in San Diego, California and active in the NPI registry since April 2012. The organization lists Kenny Heine, Sr Director Ops, as its authorized official.

NPPES Registry Identity

NPI1699032938
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameOCEAN BEACH MEDICAL GROUP
Location Address1947 CABLE STSan Diego, CA 92107-2807
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(619) 223-7164
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineSr Director Ops · (858) 964-1506
Enumeration DateApril 11, 2012
Last NPPES UpdateOctober 25, 2012
✔ NPI 1699032938 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 · G19279
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.)
1947 CABLE ST, San Diego, CA 92107
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Other Providers at the Same Location NPPES 3

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

DR. JOHN SCHILLER GILLICK MD, MPH
Anesthesiology (Pain Medicine)
1947 CABLE ST
SAN DIEGO, CA 92107
San Diego County (619) 223-1652
DR. JEOFFRY BRUCE GORDON MD
Family Medicine
1947 CABLE ST
SAN DIEGO, CA 92107
San Diego County (619) 223-7164
OCEAN BEACH MEDICAL GROUP
Family Medicine
1947 CABLE ST
SAN DIEGO, CA 92107
San Diego County (619) 223-7164

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 Ocean Beach Medical Group's NPI number?

The NPI number for Ocean Beach Medical Group is 1699032938. It was assigned to this organization in the NPPES registry on April 11, 2012.

Where is Ocean Beach Medical Group located?

Ocean Beach Medical Group is located at 1947 Cable St, San Diego, CA 92107. The listed phone number is (619) 223-7164.

What is Ocean Beach Medical Group'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 Ocean Beach Medical Group 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.