Individual provider Active NPI

Nikita Chand Gore, M.D.

  • Family Medicine Physician
  • Poway, CA
National Provider Identifier
1265965107
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A169850 Issued in CA
Practice address
15708 Pomerado Rd Ste N201
Poway, CA 92064-2066
Phone
(858) 524-6088
Fax
(858) 726-6252
NPI assigned
Apr 7, 2017
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A169850 CA Primary

Addresses

Primary practice location

15708 Pomerado Rd Ste N201
Poway, CA 92064-2066

Mailing address

15708 Pomerado Rd Ste N201
Poway, CA 92064-2066
Phone (858) 524-6088

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
I20201102002100 CA Practitioner - Family Practice 4183034143 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sharp Rees-Stealy Medical Group IncGroup PAC ID 8628972759, 872 clinicians

Practice addresses (Care Compare)

10243 Genetic Ctr Dr
San Diego, CA 92121-6310
Phone (858) 499-2600

15708 Pomerado Rd
Suite N201
Poway, CA 92064-2066
Phone (858) 524-6088

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as group
Quality
81.04
Promoting interoperability
99
Improvement activities
40
Cost
82.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A169850CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Nov 7, 2022 Accepting new patients
Regents Univ of California UCSF CurrentSince Jul 31, 2020 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc Family Medicine CurrentSince Nov 7, 2022 Accepting new patients
Marin Healthcare District CurrentSince Nov 1, 2020 Accepting new patients
The Gore Medical Group Inc. Family Medicine CurrentSince Oct 1, 2025 Accepting new patients

Locations

75 Rowland Way
Ste 200
Novato, CA 94945
Phone (415) 897-3174

15708 Pomerado Rd
Ste N201
Poway, CA 92064
Phone (858) 487-4310

10243 Genetic Center Dr
San Diego, CA 92121
Phone (858) 499-2704

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1265965107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15708 POMERADO RD STE N201",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642066",
            "telephone_number": "858-524-6088",
            "fax_number": "858-726-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15708 POMERADO RD STE N201",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642066",
            "telephone_number": "858-524-6088",
            "fax_number": "858-726-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORE",
        "first_name": "NIKITA",
        "middle_name": "CHAND",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A169850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

Verify at the official NPI Registry.