NPIMap

Individual provider Active NPI

Asim Guha Roy, MD

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1083659528
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
AO62010 Issued in CA
Practice address
4540 Kearny Villa Rd Ste 106
San Diego, CA 92123-1564
Phone
(619) 417-1500
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X AO62010 CA Primary

Addresses

Primary practice location

4540 Kearny Villa Rd Ste 106
San Diego, CA 92123-1564

Mailing address

8861 Villa la Jolla Dr # 13484
La Jolla, CA 92037-1918
Phone (619) 417-1500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051031000692 CA Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 9638196470 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3954 Murphy Canyon Rd
Suite D202
San Diego, CA 92123-4418

4540 Kearny Villa Rd
Suite 106
San Diego, CA 92123-1564
Phone (858) 430-6656

Hospital & facility affiliations

  • Good Samaritan Home Health Inc Home health agency, National City, CA, CCN 757272
  • Sea Coast Home Health Care Inc Home health agency, San Diego, CA, CCN 559055
  • Archer Health Inc Home health agency, Carlsbad, CA, CCN 053124
  • Alpha Plus Home Health Services Home health agency, Lemon Grove, CA, CCN 058493
  • Bridge Home Health Home health agency, San Diego, CA, CCN 059387
  • Blessed Hospice California Inc Hospice, San Diego, CA, CCN B41582
  • Kearny Mesa Convalescent and Nursing Home Nursing home, San Diego, CA, CCN 055286
  • Bella Vista Health Center Nursing home, Lemon Grove, CA, CCN 555870
  • The Shores Post-Acute Nursing home, San Diego, CA, CCN 555585
  • Magnolia Post Acute Care Nursing home, El Cajon, CA, CCN 055890
  • Escondido Post Acute Nursing home, Escondido, CA, CCN 056040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AO62010CAMDInternal Medicine Physician

Practice roles (5 of 6)

OrganizationSpecialtyStatusNew patients
Careconnectmd Ca PC Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
Scripps Health Current Accepting new patients
Asim Guha Roy, M.D., Inc Internal Medicine CurrentSince Oct 5, 2001 Accepting new patients
Ximed Hospitalists, Inc. Past Accepting new patients
Sharp Memorial Hospital Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

4540 Kearny Villa Rd
Ste 105
San Diego, CA 92123
Phone (619) 596-9890

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

4540 Kearny Villa Rd
Ste 106
San Diego, CA 92123
Phone (858) 430-6656

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: aguharoy81079@scrippshlth.medalliesdirect.net

Organizations & group practices 5

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

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1083659528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8861 VILLA LA JOLLA DR # 13484",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371918",
            "telephone_number": "619-417-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 KEARNY VILLA RD STE 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231564",
            "telephone_number": "619-417-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUHA ROY",
        "first_name": "ASIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "AO62010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.