Active NPI
Nucleus Medical Group
- Family Medicine Physician
- San Diego, CA
National Provider Identifier
1003402264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- NUCLEUS MEDICAL GROUP
- Practice address
- 4570 Executive Dr Ste 100
San Diego, CA 92121-3074 - Phone
- (844) 838-3322
- NPI assigned
- Dec 11, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Karow, MD
- Title
- President
- Phone
- (858) 361-5779
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Clinical Genetics (M.D.) Physician | 207SG0201X | |||
| Pediatrics Physician | 208000000X | |||
| Body Imaging Physician | 2085B0100X | |||
| Diagnostic Radiology Physician | 2085R0202X |
Addresses
Primary practice location
4570 Executive Dr Ste 100
San Diego, CA 92121-3074
Mailing address
4570 Executive Dr Ste 100
San Diego, CA 92121-3074
Phone (844) 838-3322
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2204887 | Nucleus Medical Group, Inc. | Certificate of waiver | Dec 9, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700092800000",
"number": "1003402264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4570 EXECUTIVE DR STE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213074",
"telephone_number": "844-838-3322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4570 EXECUTIVE DR STE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213074",
"telephone_number": "844-838-3322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUCLEUS MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-11",
"last_updated": "2023-11-16",
"certification_date": "2023-11-16",
"status": "A",
"authorized_official_last_name": "KAROW",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "858-361-5779",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207SG0201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085B0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Body Imaging",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.