Individual provider Active NPI

James Christopher Clifford, M.D.

  • Internal Medicine Physician
  • Imperial Beach, CA
National Provider Identifier
1619034030
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A109342 Issued in CA
Practice address
1498 13TH Street
Nolf Ib Medical Department BLDG 184
Imperial Beach, CA 91932
Phone
(619) 921-5077
NPI assigned
Jan 3, 2007
Last updated
Apr 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01064296A IN
Internal Medicine Physician 207R00000X 67425 AZ
Internal Medicine Physician 207R00000X A109342 CA Primary

Addresses

Primary practice location

1498 13TH Street
Nolf Ib Medical Department BLDG 184
Imperial Beach, CA 91932

Mailing address

4552 Fairfield Dr
Bethesda, MD 20814-4704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210714000142 CA Practitioner - Endocrinology 3173798980 Reassigns benefits to 1 organization
I20220829002301 AZ Practitioner - Endocrinology 3173798980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Loyola University of Chicago, Stritch School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Einfectionmd LLCGroup PAC ID 6406191543, 18 clinicians

Practice addresses (Care Compare)

2375 E Camelback Rd
Suite 600
Phoenix, AZ 85016-3493
Phone (602) 387-4035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67425AZMDInternal Medicine Physician
A109342CAMDInternal Medicine Physician
01064296AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aristamd Internal Medicine CurrentSince Apr 1, 2021 Accepting new patients
Einfectionmd PC CurrentSince Sep 1, 2022 Accepting new patients
Pathway Genomics Corporation PastSince Apr 1, 2021 Accepting new patients

Locations

2375 E Camelback Rd
Ste 600
Phoenix, AZ 85016
Phone (602) 341-5248

4120 N 108th Ave
Ste 116
Phoenix, AZ 85037
Phone (602) 881-5430

4755 Nexus Center Dr
San Diego, CA 92121
Phone (858) 750-4777

Interoperability endpoints

  • Direct secure messaging: james.clifford.1@18595.direct.athenahealth.com

Organizations & group practices 3

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1619034030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4552 FAIRFIELD DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 13TH STREET",
            "address_2": "NOLF IB MEDICAL DEPARTMENT BLDG 184",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "91932",
            "telephone_number": "619-921-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIFFORD",
        "first_name": "JAMES",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01064296A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "67425",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A109342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Imperial Beach, CA

Sources for this page

Verify at the official NPI Registry.