Active NPI
Lpi Medical Group, P.C.
- Internal Medicine Physician
- San Diego, CA
National Provider Identifier
1033979489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- LPI MEDICAL GROUP, P.C.
- Practice address
- 4660 La Jolla Village Dr Ste 340
San Diego, CA 92122-4626 - Phone
- (858) 375-6152
- Fax
- (833) 449-4008
- NPI assigned
- Mar 21, 2024
- 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
- David Bricken
- Title
- Cfo
- Phone
- (936) 827-8502
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
4660 La Jolla Village Dr Ste 340
San Diego, CA 92122-4626
Mailing address
7514 Girard Ave # 1605
La Jolla, CA 92037-5149
Phone (858) 375-6152
National Provider Directory
National Provider DirectoryLocations
4660 La Jolla Village Dr
Ste 340
San Diego, CA 92122
Phone (858) 375-6152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711065600000",
"number": "1033979489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7514 GIRARD AVE # 1605",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920375149",
"telephone_number": "858-375-6152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4660 LA JOLLA VILLAGE DR STE 340",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921224626",
"telephone_number": "858-375-6152",
"fax_number": "833-449-4008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LPI MEDICAL GROUP, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-21",
"last_updated": "2024-03-22",
"certification_date": "2024-03-22",
"status": "A",
"authorized_official_last_name": "BRICKEN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "936-827-8502"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"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 Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.