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MCKENSY MADSEN DO
NPI 1710688296
General Practice in San Diego, CA

Active since March 13, 2023
34800 BOB WILSON DR, SAN DIEGO, CA 92134(619) 532-7575 Get Directions Write a Review

NPPES record last updated: August 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 9, 2025, Aug 12, 2024, Aug 5, 2024 and 1 more (4 updates tracked since 2023).

About Mckensy Madsen Do NPPES

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

MCKENSY MADSEN DO (NPI 1710688296) is an individual general practice provider in San Diego, California, licensed in Virginia (0102208864) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1710688296
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameMCKENSY MADSENCredential: DO
Location Address34800 BOB WILSON DRSan Diego, CA 92134-1098
Mailing Address2496 Bauer RdSan Diego, CA 92126
Phone(619) 532-7575
Sole ProprietorYes
Enumeration DateMarch 13, 2023
Last NPPES UpdateAugust 9, 20254 updates tracked since enumeration
NPPES CertifiedAugust 9, 2025
✔ NPI 1710688296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in VA · 0102208864
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
34800 BOB WILSON DR, San Diego, CA 92134
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Other Providers at the Same Location NPPES 20

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

LORENA MARIE FUJII N.P.
Nurse Practitioner (Pediatrics)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-8910
LAKIESHA NICOLE MURPHY
Nurse's Aide
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 713-3385
SUSANNA BYRNE D.O.
Anesthesiology
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
DR. PAUL CHARLES CAMPBELL D.O.
Urology (Pediatric Urology)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-7200
PHILLIP EDWARD FRY JR. DO
Emergency Medicine
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
BRADLY JAMES STILLEY IDC
Military Health Care Provider (Independent Duty Corpsman)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (360) 941-9989
DR. ELIZABETH WHIPPLE PHD
Military Health Care Provider
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
DR. ELAN HARDER BRESSLOUR-RASHAP MD
General Practice
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400

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 Mckensy Madsen's NPI number?

The NPI number for Mckensy Madsen is 1710688296. It was assigned to this individual provider in the NPPES registry on March 13, 2023.

Where is Mckensy Madsen located?

Mckensy Madsen practices at 34800 Bob Wilson Dr, San Diego, CA 92134. The listed phone number is (619) 532-7575.

What is Mckensy Madsen's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Mckensy Madsen was last updated on August 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.