Individual provider Active NPI

Teja Singh Jr., M.D.

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1205875606
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A89960 Issued in CA
Practice address
2810 Camino del Rio S Ste 102
San Diego, CA 92108-3819
Phone
(858) 779-4686
NPI assigned
Jun 5, 2006
Last updated
Nov 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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 A89960 CA Primary

Addresses

Primary practice location

2810 Camino del Rio S Ste 102
San Diego, CA 92108-3819

Mailing address

2810 Camino del Rio S Ste 102
San Diego, CA 92108-3819
Phone (858) 779-4686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MI, UT, FL, AZ, TX6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20060317000546 CA Practitioner - Internal Medicine 5193732030 Reassigns benefits to 4 organizations
I20230202001102 MI Practitioner - Internal Medicine 5193732030 Reassigns benefits to 1 organization
I20230810004370 UT Practitioner - Internal Medicine 5193732030 Reassigns benefits to 1 organization
I20231010000899 FL Practitioner - Internal Medicine 5193732030
I20240307002199 AZ Practitioner - Internal Medicine 5193732030
I20240326000365 TX Practitioner - Internal Medicine 5193732030

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Medical Associates IncGroup PAC ID 0446339469, 13 clinicians

Practice addresses (Care Compare)

2810 Camino del Rio S
Suite 102
San Diego, CA 92108-3819
Phone (619) 299-1419

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geri Connection CurrentSince Sep 1, 2022 Accepting new patients
Senior Medical Associates, Inc. CurrentSince Feb 1, 2016 Accepting new patients
Myndfull Care Management Utah PC Internal Medicine CurrentSince Apr 26, 2023 Accepting new patients
Myndfull Care Management California PC CurrentSince Sep 1, 2022 Accepting new patients
Myndfull Care California PC Internal Medicine CurrentSince Aug 22, 2023 Accepting new patients
Bridge Physician Network San Diego PC PastSince Feb 1, 2023 Accepting new patients
The Elizabeth Hospice, Inc. PastSince Feb 17, 2017 Accepting new patients

Locations

15644 Pomerado Rd
Ste 202
Poway, CA 92064
Phone (619) 320-8090

15720 Bernardo Center Dr
San Diego, CA 92127
Phone (858) 500-2693

2810 Camino del Rio S
Ste 102
San Diego, CA 92108
Phone (619) 299-1419

8445 Camino Santa Fe
Ste 215
San Diego, CA 92121
Phone (619) 541-3246

530 Lomas Santa Fe Dr
Ste M
Solana Beach, CA 92075
Phone (619) 724-7171

9436 W Lake Mead Blvd
Ste 5
Las Vegas, NV 89134
Phone (760) 978-8596

240 N East Promontory
Ste C200
Farmington, UT 84025

3450 N Triumph Blvd
Ofc 114
Lehi, UT 84043

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Villa Rancho Bernardo Care CenterSan Diego, CA, CCN 555318 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jul 1, 2016
Jul 1, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1205875606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 CAMINO DEL RIO S STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083819",
            "telephone_number": "858-779-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 CAMINO DEL RIO S STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083819",
            "telephone_number": "858-779-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "TEJA",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A89960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.