SITI MEDICAL CLINIC
NPI 1790088219
Clinical Nurse Specialist in San Diego, CA

Q: What is Siti Medical Clinic's NPI number?

The NPI number for Siti Medical Clinic is 1790088219. It was assigned to this organization in the NPPES registry on December 7, 2010.

Q: What is Siti Medical Clinic's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

Active since December 07, 2010

1951 4TH AVE STE 202, SAN DIEGO, CA 92101(619) 717-8484 Get Directions Write a Review

NPPES record last updated: December 7, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Siti Medical Clinic NPPES

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

SITI MEDICAL CLINIC (NPI 1790088219) is a healthcare organization registered as a clinical nurse specialist in San Diego, California and active in the NPI registry since December 2010. The organization lists Susan Ann Kincaid, Part Owner/ Manger, as its authorized official.

NPPES Registry Identity

NPI1790088219

Entity TypeOrganization

Primary Taxonomy364S00000X

Legal Business NameSITI MEDICAL CLINIC

Location Address1951 4TH AVE STE 202San Diego, CA 92101-2374

Mailing Address1951 4th Ave #202San Diego, CA 92101

Phone(619) 717-8484

Organization SubpartNo

Authorized OfficialSusan Ann KincaidPart Owner/ Manger · (619) 717-8484

Enumeration DateDecember 7, 2010

✔ NPI 1790088219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364S00000X

License✔ Licensed in CA · 18150

Definition

A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.

1951 4TH AVE STE 202, San Diego, CA 92101

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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.

SUSAN ANN KINCAID FNP-BC

Nurse Practitioner (Family)

1951 4TH AVE STE 202
SAN DIEGO, CA 92101

San Diego County (619) 228-6170

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 Siti Medical Clinic's NPI number?

The NPI number for Siti Medical Clinic is 1790088219. It was assigned to this organization in the NPPES registry on December 7, 2010.

Where is Siti Medical Clinic located?

Siti Medical Clinic is located at 1951 4th Ave Ste 202, San Diego, CA 92101. The listed phone number is (619) 717-8484.

What is Siti Medical Clinic's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

When was this NPI record last updated?

The NPPES record for Siti Medical Clinic was last updated on December 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.