Genesee Medical Group Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G45791 Issued in CA

Legal business name

GENESEE MEDICAL GROUP INC

Practice address

7830 Clairemont Mesa Blvd
Suite 100
San Diego, CA 92111-1619

Phone

(858) 268-1111

Fax

(858) 268-0761

NPI assigned

Mar 3, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Donald P Tecca, MD

Title

Owner

Phone

(858) 268-1111

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Renee Maneffa, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • San Diego, CA
  • NPI 1770180028
  Medicare reassignment Care Compare group NPD
• Alhussain Saeed, MD

  • Internal Medicine Physician
  • Chula Vista, CA
  • NPI 1144964685
  Medicare reassignment Care Compare group NPD
• Jaafar Al-Dahwi, MD

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1639551435
  Medicare reassignment Care Compare group
• Lyndsey Jane Brown, FNP-C

  • Family Nurse Practitioner
  • San Diego, CA
  • NPI 1699485664
  Medicare reassignment Care Compare group
• Jeffrey H Dysart, M.D.

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1154361558
  Medicare reassignment Care Compare group
• Tam K Tran, MD

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1245767037
  Medicare reassignment Care Compare group
• Joy Le, RN

  • Family Nurse Practitioner
  • Escondido, CA
  • NPI 1790571883
  Medicare reassignment
• Summer Pillsbury, FNP

  • Family Nurse Practitioner
  • Brookline, MA
  • NPI 1205526639

  CA

  Medicare reassignment
• Areej Alwahab, MD

  • Pediatrics Physician
  • El Cajon, CA
  • NPI 1497138002
  NPD (past)
• Shannon Christine Davis, NP

  • Family Nurse Practitioner
  • San Diego, CA
  • NPI 1942522016
  NPD (past)
• Sangeetha Potty Murthy, MD

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1053393843
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1043480320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7830 CLAIREMONT MESA BLVD",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111619",
            "telephone_number": "858-268-1111",
            "fax_number": "858-268-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7830 CLAIREMONT MESA BLVD",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111619",
            "telephone_number": "858-268-1111",
            "fax_number": "858-268-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESEE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "TECCA",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-268-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G45791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "WG45791A",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "0010860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Genel - Palavicini
• Jay Gener
• Nicholas Genereaux
• Aileen Generoso
• Genesee Dentists Inc
• Genesis Healthcare Partners, PC
• Seth Geneus
• Bob Geng, M.D.
• Colleen A. Geniblazo, MD
• Vincent T Genna, NP

• Internal Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.