Organization Active NPI

Lpi Medical Group, P.C.

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1033979489
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Mar 22, 2024

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.