Anthony David Puopolo II, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A104552 Issued in CA

Practice address

300 Fir St
San Diego, CA 92101-2327

Phone

(858) 499-2777

Fax

(619) 557-2770

NPI assigned

Nov 7, 2006

Last updated

Nov 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, NC, FL, GA, IL, NY, AZ, VA, CO, NJ, CT, WI, MA, NH, KY, KS, MI, MD, PA, IN, TX, WA, RI, MN, IA, VT, NV, OH, MT, ND, AL, WY, SC, ID34 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 34

Specialty

Family Practice

Education

Boston University School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Puopolo MD PCGroup PAC ID 0547605701, 3 clinicians

Lifemd Atlantic Patient Medical Care PCGroup PAC ID 2163868217, 5 clinicians

Lifemd Southern Patient Medical Care PCGroup PAC ID 7618311820, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: anthony.puopolo@337577483108356.direct.elationemr.com

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.

• Lifemd Atlantic Patient Medical Care PC

  • Clinic/Center
  • Hoboken, NJ
  • NPI 1164100657

  Family Medicine, MD, NC, PA, SC, VA

  Medicare reassignment Care Compare group NPD
• Puopolo MD PC

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1477230928

  ID, MT, WA

  Medicare reassignment Care Compare group
• Lifemd Southern Patient Medical Care PC

  • Clinic/Center
  • Orlando, FL
  • NPI 1417635921

  AL, GA, KY

  Medicare reassignment Care Compare group
• Lifemd Kansas Patient Medical Care PA

  • Clinic/Center
  • Overland Park, KS
  • NPI 1073353850

  Family Medicine, ND, WY

  Medicare reassignment NPD
• Lifemd Midwest Patient Medical Care PC

  • Clinic/Center
  • Troy, MI
  • NPI 1497433734

  Family Medicine, IL, IN, OH

  Medicare reassignment NPD
• New York Patient Medical Care PC

  • Multi-Specialty Clinic/Center
  • Rochester, NY
  • NPI 1629757919
  Medicare reassignment NPD
• Lifemd South Central Patient Medical Care PA

  • Clinic/Center
  • Dallas, TX
  • NPI 1871270348
  Medicare reassignment

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1275602625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FIR ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012327",
            "telephone_number": "858-499-2777",
            "fax_number": "619-557-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FIR ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012327",
            "telephone_number": "858-499-2777",
            "fax_number": "619-557-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUOPOLO",
        "first_name": "ANTHONY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A104552",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A104552",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Denise Puno
• Renzo Punongbayan
• Kiron Marie Punwani, PHARM D
• Reichelle Punzal
• Nyawargak Puoch
• Adam Cole Puplava
• Pura Vida Fit Physical Therapy Incorporated (Pura Vida Fit)
• Jaynee Lau Pura
• David Purcell, RN, MSN
• Ian M Purcell, MD

• 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 Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.