Lomita Family Medical Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LOMITA FAMILY MEDICAL GROUP INC

Practice address

909 Cardiff St
San Diego, CA 92114-5019

Phone

(619) 465-3121

Fax

(619) 465-6708

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Gabriel Gil, MDNPI 1548361587

Title

President Owner

Phone

(619) 465-3121

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gabriel Gil, M.D.

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1548361587
  Medicare reassignment NPD Authorized official
• Lucia Fajardo, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Santee, CA
  • NPI 1255864849
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244073600000",
    "number": "1336249531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX #98",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919460098",
            "telephone_number": "619-465-3121",
            "fax_number": "619-465-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 CARDIFF ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921145019",
            "telephone_number": "619-465-3121",
            "fax_number": "619-465-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOMITA FAMILY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2009-06-04",
        "status": "A",
        "authorized_official_last_name": "GIL",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "619-465-3121",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - G. GIL",
            "identifier": "1548361587",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - SHELDON",
            "identifier": "1639270689",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frida Lome
• Patricia Montserrat Lomeli Medina, IBCLC
• Brianna Michelle Lomeli
• Claudia Cristina Lomeli
• Joseline Daisy Lomeli
• Marisa Lona
• Sarah Lonczewski
• David R. Londo, MD
• Bo K London, NONE
• Damon N. London, M.D.

• 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 Jun 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.