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ADVANCED MD MEDICAL GROUP INC
NPI 1780128256
General Practice in San Diego, CA

Active since December 18, 2016
2878 CAMINO DEL RIO S STE 404, SAN DIEGO, CA 92108(858) 345-4887 Get Directions Write a Review

NPPES record last updated: December 18, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Advanced Md Medical Group Inc NPPES

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

ADVANCED MD MEDICAL GROUP INC (NPI 1780128256) is a healthcare organization registered as a general practice in San Diego, California and active in the NPI registry since December 2016. The organization lists Dirk Kancilia, Administration, as its authorized official.

NPPES Registry Identity

NPI1780128256
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameADVANCED MD MEDICAL GROUP INC
Location Address2878 CAMINO DEL RIO S STE 404San Diego, CA 92108-3848
Mailing Address235 W Washington Ave, A55Escondido, CA 92025-2634 · (858) 345-4887
Phone(858) 345-4887
Organization SubpartNo
Authorized OfficialDirk KanciliaAdministration · (858) 345-4887
Enumeration DateDecember 18, 2016
✔ NPI 1780128256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · G87969
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
2878 CAMINO DEL RIO S STE 404, San Diego, CA 92108
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

STEPHEN ALAN CENTER M.D.
Family Medicine
2878 CAMINO DEL RIO S STE 404
SAN DIEGO, CA 92108
San Diego County (619) 419-2655

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 Advanced MD Medical Group Inc's NPI number?

The NPI number for Advanced MD Medical Group Inc is 1780128256. It was assigned to this organization in the NPPES registry on December 18, 2016.

Where is Advanced MD Medical Group Inc located?

Advanced MD Medical Group Inc is located at 2878 Camino Del Rio S Ste 404, San Diego, CA 92108. The listed phone number is (858) 345-4887.

What is Advanced MD Medical Group Inc'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 Advanced MD Medical Group Inc was last updated on December 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.