Individual provider Active NPI

John Mitchell King, PHYSICIAN ASSISTANT

  • Interventional Pain Medicine Physician
  • San Diego, CA
National Provider Identifier
1144067471
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
PA65926 Issued in CA
Practice address
2100 5TH Ave Ste 200
San Diego, CA 92101-2102
Phone
(619) 948-8464
NPI assigned
Jul 12, 2024
Reactivated
Sep 25, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X PA65926 CA Primary

Addresses

Primary practice location

2100 5TH Ave Ste 200
San Diego, CA 92101-2102

Mailing address

PO Box 1974
Rancho Santa Fe, CA 92067-1974
Phone (858) 248-9784

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250825001373 CA Practitioner - Physician Assistant 8224538152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alicja Steiner MD a Professional Medical CorporationGroup PAC ID 9335146646, 3 clinicians

Practice addresses (Care Compare)

2100 5TH Ave
Suite 200
San Diego, CA 92101-2102
Phone (619) 948-8464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA65926CAMDInterventional Pain Medicine Physician

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1144067471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1974",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920671974",
            "telephone_number": "858-248-9784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 5TH AVE STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012102",
            "telephone_number": "619-948-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JOHN",
        "middle_name": "MITCHELL",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-12",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "deactivation_date": "2025-09-11",
        "reactivation_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "PA65926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.