CLAIREMONT FAMILY MEDICAL CLINIC
NPI 1932257193
Family Medicine - Adult Medicine in San Diego, CA
NPI Status: Active since January 06, 2007
Contact Information
3737 MORAGA AVE
STE B408
SAN DIEGO, CA
ZIP 92117
Phone: (858) 292-8885
Fax: (858) 292-0688
- Organization
- Family Medicine
- Adult Medicine
- Medicare Supplier
- Does Not Accept Medicare Approved Payment
- CLIA Number: 05D0570328
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-26-2028
About CLAIREMONT FAMILY MEDICAL CLINIC
This page provides the complete NPI Profile along with additional information for Clairemont Family Medical Clinic, a primary care provider established in San Diego, California operating as a Family Medicine, focusing in adult medicine . The healthcare provider is registered in the NPI registry with number 1932257193 assigned on January 2007. The practitioner's primary taxonomy code is 207QA0505X with license number G31968 (CA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Clairemont Family Medical Clinic. The authorized official of this NPI record is Gary Kenneth Boone M.d. (President)
- NPI
- 1932257193
- Provider Legal Name
- SAN DIEGO PRIMARY CARE MEDICAL GROUP
- Other Organization Name
- CLAIREMONT FAMILY MEDICAL CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3737 MORAGA AVE STE B408 SAN DIEGO, CA 92117
- Location Phone
- (858) 292-8885
- Location Fax
- (858) 292-0688
- Mailing Address
- 3737 MORAGA AVE STE B408 SAN DIEGO, CA 92117
- Mailing Phone
- (858) 292-8885
- Mailing Fax
- (858) 292-0688
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-06-2007
- Last Update Date
- 11-11-2024
- Code Navigator
A primary care provider (PCP) like Clairemont Family Medical Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Clairemont Family Medical Clinic is a medicare supplier with PTAN 20404367 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Limb Prostheses or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom or Lymphedema Compression Treatment Items.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine Adult Medicine
- Taxonomy Code
- 207QA0505X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G31968
- License State
- CA
- Taxonomy Description
- The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G319680 | MEDICAID (05) | CA |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20404367
- Accepts Medicare Assignment
- NO
- Specialities List
- MSC With Orthotic-Prosthetic.
- Competitive Bidding
- NO
Supplies List
- 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
- Lymphedema Compression Treatment Items -
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0570328
- Facility Type
- Physician Office
- Certificate Effective Date
- April 27, 2026
- Certificate Expiration Date
- April 26, 2028
- Laboratory Director
- GARY K. BOONE MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Clairemont Family Medical Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1932257193, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SAN DIEGO, CA 92117
SAN DIEGO, CA 92117
SAN DIEGO, CA 92117
SAN DIEGO, CA 92117
SAN DIEGO, CA 92117
SAN DIEGO, CA 92117
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932257193, enumerated as an "organization" on January 06, 2007.
The provider is located at 3737 MORAGA AVE STE B408 SAN DIEGO, CA 92117 and the phone number is (858) 292-8885.
Family Medicine with taxonomy code 207QA0505X and a focus in Adult Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
