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CLAIREMONT FAMILY MEDICAL CLINIC
NPI 1932257193
Family Medicine - Adult Medicine in San Diego, CA

Active since January 06, 2007CLIA 05D0570328 · Waiver
3737 MORAGA AVE, STE B408, SAN DIEGO, CA 92117(858) 292-8885(858) 292-0688 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 11, 2024, Nov 12, 2020 (2 updates tracked since 2020).

About Clairemont Family Medical Clinic NPPES

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

CLAIREMONT FAMILY MEDICAL CLINIC (NPI 1932257193) is a healthcare organization registered as an adult medicine in San Diego, California and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through April 26, 2028 and lists Gary Kenneth Boone, President, as its authorized official.

NPPES Registry Identity

NPI1932257193
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameSAN DIEGO PRIMARY CARE MEDICAL GROUP
Location Address3737 MORAGA AVE, STE B408San Diego, CA 92117-5364
Mailing Address3737 Moraga Ave, Ste B408San Diego, CA 92117-5364 · (858) 292-8885 · Fax (858) 292-0688
Phone(858) 292-8885
Fax(858) 292-0688
Organization SubpartNo
Authorized OfficialGary Kenneth BoonePresident · (858) 292-8885
Enumeration DateJanuary 6, 2007
Last NPPES UpdateNovember 11, 20242 updates tracked since enumeration
NPPES CertifiedNovember 11, 2024
✔ NPI 1932257193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in CA · G31968
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
3737 MORAGA AVE, San Diego, CA 92117
Open in Google Maps ↗

Other Names 1

Doing Business AsClairemont Family Medical Clinic

Other Identifiers 1

Medicaid00G319680CA

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0570328

San Diego Primary Care Medical Group, Inc · San Diego, CA
Active · expires Apr 26, 2028
CLIA Number05D0570328
Laboratory TypePhysician Office
Certificate Effective DateApril 27, 2026
Certificate Expiration DateApril 26, 2028
Laboratory DirectorGary K. Boone MD
Laboratory Phone(619) 292-8885
Laboratory LocationSan Diego Primary Care Medical Group, Inc3737 Moraga Ave # B -408, San Diego, CA 92117
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories San Diego Office carries, from the Medicare DMEPOS supplier directory.

San Diego Office

DMEPOS supplier · San Diego, CAOperated by Bionics Orthotics And Prosthetics Inc.
⋮

Does not accept Medicare assignment

San Diego Office has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20404367
Medicare Participant SinceOctober 1, 2021
Supplier Location3737 Moraga Ave Ste B107San Diego, CA 92117
Phone(858) 270-9972
Supplier Specialties
MSC With Orthotic-Prosthetic

Medicare Product Categories

Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Limb Prostheses
Prosthetic arms, Prosthetic feet, Prosthetic knees
Diabetic Shoes and Inserts
Shoes, Socks, Insoles
Diabetic Shoes/Inserts - Custom
Custom fabricated shoes, socks, & insoles
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

DR. STANLEY LAWRENCE BAQUIAL D.D.S.
Dentist (General Practice)
3737 MORAGA AVE, STE B309
SAN DIEGO, CA 92117
San Diego County (858) 581-3641
SANFORD G FELDMAN MD INC
Ophthalmology
3737 MORAGA AVE, SUITE A105
SAN DIEGO, CA 92117
San Diego County (858) 273-0200
ELLIE E SAMADANI M.D.
Ophthalmology
3737 MORAGA AVE, SUITE A105
SAN DIEGO, CA 92117
San Diego County (858) 273-0200
DR. BRUCE R LASKER MD
Psychiatry & Neurology (Neurology)
3737 MORAGA AVE, SUITE A-5
SAN DIEGO, CA 92117
San Diego County (858) 273-3300
DR. MARK L EMERSON D.D.S.
Dentist (General Practice)
3737 MORAGA AVE, A-108
SAN DIEGO, CA 92117
San Diego County (858) 274-4400
DR. JAMES MISLA D.D.S.
Dentist (General Practice)
3737 MORAGA AVE, A208
SAN DIEGO, CA 92117
San Diego County (858) 866-0656
DR. HARRIET F SELDIN DMD
Dentist (General Practice)
3737 MORAGA AVE, STE B113
SAN DIEGO, CA 92117
San Diego County (858) 274-2483
DR. EDWARD AARON BRANTZ M.D.
Family Medicine
3737 MORAGA AVE, SUITE # B103 PERLMAN CLINIC DE ANZA VIEW MEDICAL CENTER
SAN DIEGO, CA 92117
San Diego County (858) 273-6093

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 San Diego Primary Care Medical Group's NPI number?

The NPI number for San Diego Primary Care Medical Group is 1932257193. It was assigned to this organization in the NPPES registry on January 6, 2007. The provider is doing business as Clairemont Family Medical Clinic.

Where is San Diego Primary Care Medical Group located?

San Diego Primary Care Medical Group is located at 3737 Moraga Ave Ste B408, San Diego, CA 92117. The listed phone number is (858) 292-8885.

What is San Diego Primary Care Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Does San Diego Primary Care Medical Group accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, San Diego Office does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does San Diego Primary Care Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0570328) is associated with this NPI, valid through April 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for San Diego Primary Care Medical Group was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.