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OCEAN BEACH MEDICAL GROUP
NPI 1992710826
Family Medicine in San Diego, CA

Active since July 29, 2006
1947 CABLE ST, SAN DIEGO, CA 92107(619) 223-7164(619) 223-5443 Get Directions Write a Review

NPPES record last updated: June 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ocean Beach Medical Group NPPES

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

OCEAN BEACH MEDICAL GROUP (NPI 1992710826) is a healthcare organization registered as a family medicine in San Diego, California and active in the NPI registry since July 2006. The organization lists Jeoffry Bruce Gordon, Owner, as its authorized official.

NPPES Registry Identity

NPI1992710826
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOCEAN BEACH MEDICAL GROUP
Location Address1947 CABLE STSan Diego, CA 92107-2807
Mailing Address1947 Cable StSan Diego, CA 92107-2807 · (619) 223-7164 · Fax (619) 223-5443
Phone(619) 223-7164
Fax(619) 223-5443
Organization SubpartNo
Authorized OfficialJeoffry Bruce GordonOwner · (619) 223-7164
Enumeration DateJuly 29, 2006
Last NPPES UpdateJune 18, 2008
✔ NPI 1992710826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G19279
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1947 CABLE ST, San Diego, CA 92107
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Other Identifiers 4

Medicare PINWG19279ACA
Medicaid00G192790CA
Medicare ID-Type UnspecifiedW15194CA
Medicare UPINA40587CA

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

Other Providers at the Same Location NPPES 3

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

DR. JOHN SCHILLER GILLICK MD, MPH
Anesthesiology (Pain Medicine)
1947 CABLE ST
SAN DIEGO, CA 92107
San Diego County (619) 223-1652
DR. JEOFFRY BRUCE GORDON MD
Family Medicine
1947 CABLE ST
SAN DIEGO, CA 92107
San Diego County (619) 223-7164
OCEAN BEACH MEDICAL GROUP
Non-Pharmacy Dispensing Site
1947 CABLE ST
SAN DIEGO, CA 92107
San Diego County (619) 223-7164

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 Ocean Beach Medical Group's NPI number?

The NPI number for Ocean Beach Medical Group is 1992710826. It was assigned to this organization in the NPPES registry on July 29, 2006.

Where is Ocean Beach Medical Group located?

Ocean Beach Medical Group is located at 1947 Cable St, San Diego, CA 92107. The listed phone number is (619) 223-7164.

What is Ocean Beach Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Ocean Beach Medical Group was last updated on June 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.