Individual provider Active NPI

George Delgado, M.D

  • Adult Medicine Physician
  • San Diego, CA
National Provider Identifier
1083639470
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
G66807 Issued in CA
Practice address
5030 Camino de la Siesta Ste 106
San Diego, CA 92108-3117
Phone
(619) 692-4401
Fax
(619) 692-8147
NPI assigned
Jul 13, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X G66807 CA Primary

Addresses

Primary practice location

5030 Camino de la Siesta Ste 106
San Diego, CA 92108-3117

Mailing address

5030 Camino de la Siesta Ste 106
San Diego, CA 92108-3117
Phone (619) 692-4401

Other practice location 1

362 W Mission Ave Ste 105
Escondido, CA 92025-1738
Phone (760) 741-1224

Other practice location 2

362 W Mission Ave Ste 105
Escondido, CA 92025-1738
Phone (760) 741-1224

Other practice location 3

550 Washington St
801
San Diego, CA 92103-2213
Phone (619) 692-4401

Other identifiers 1

IdentifierTypeStateIssuer
00G668070MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060120000776 CA Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Obstetrics/Gynecology 6507880234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
University of California, Davis School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Culture of Life Family ServicesGroup PAC ID 3779945498, 2 clinicians

Practice addresses (Care Compare)

362 W Mission Ave
Suite 105
Escondido, CA 92025-1738
Phone (760) 741-1224

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Culture of Life Family Services CurrentSince Jul 1, 2023 Accepting new patients
Solano Family Physicans Medical Group Professional Corporation Past Accepting new patients
Medestate Inc. Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: gdelgado31793@scrippshlth.medalliesdirect.net
  • FHIR API: https://api.platform.athenahealth.com/16606/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1083639470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 CAMINO DE LA SIESTA STE 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083117",
            "telephone_number": "619-692-4401",
            "fax_number": "619-692-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 CAMINO DE LA SIESTA STE 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083117",
            "telephone_number": "619-692-4401",
            "fax_number": "619-692-8147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "362 W Mission Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920251738",
            "country_code": "US",
            "telephone_number": "760-741-1224",
            "fax_number": "760-741-7010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "362 W Mission Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920251738",
            "country_code": "US",
            "telephone_number": "760-741-1224",
            "fax_number": "760-741-7010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Washington St",
            "address_2": "801",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921032213",
            "country_code": "US",
            "telephone_number": "619-692-4401",
            "fax_number": "619-692-8147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "GEORGE",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "G66807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G668070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.