Active NPI
James Christopher Clifford, M.D.
- Internal Medicine Physician
- Imperial Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A109342
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 67425 | AZ | MD | Internal Medicine Physician |
| A109342 | CA | MD | Internal Medicine Physician |
| 01064296A | IN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aristamd | Internal Medicine | Current | Accepting new patients |
| Einfectionmd PC | Current | Accepting new patients | |
| Pathway Genomics Corporation | Past | 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
- 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.
-
- Infectious Disease Physician
- Phoenix, AZ
- NPI 1417437526
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1235671660
-
- Clinical Medical Laboratory
- San Diego, CA
- NPI 1689818627
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.