Novak Medical Group, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G44909 Issued in CA

Legal business name

NOVAK MEDICAL GROUP, INC.

Practice address

4440 Lamont St
San Diego, CA 92109-4560

Phone

(858) 272-0022

Fax

(858) 272-7460

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Fiona Dempsey

Title

V.P. of Operations

Phone

(858) 270-7633

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194870717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 LAMONT ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094560",
            "telephone_number": "858-272-0022",
            "fax_number": "858-272-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 LAMONT ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094560",
            "telephone_number": "858-272-0022",
            "fax_number": "858-272-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVAK MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEMPSEY",
        "authorized_official_first_name": "FIONA",
        "authorized_official_title_or_position": "V.P. OF OPERATIONS",
        "authorized_official_telephone_number": "858-270-7633"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G44909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik Nouvong
• Nayeli Joana Nova Fernandez
• Alan Steven Nova, D.O.
• Michael Nova, MD
• Robert David Novack, AMFT APCC
• Elizabeth Anne Novak, RN, L.AC.
• Erika Novak, L.AC.
• Nancy June Novak, RN
• Nicholas Novak, PHARMD
• Nicole Novak, BCBA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.