Organization Active NPI

Caring Physicians Medical Group, Inc.

  • Internal Medicine Physician
  • La Mesa, CA
National Provider Identifier
1669680559
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A41845 Issued in CA
Legal business name
CARING PHYSICIANS MEDICAL GROUP, INC.
Practice address
8881 Fletcher Pkwy
Ste 370
La Mesa, CA 91942
Phone
(619) 462-5555
Fax
(619) 462-5572
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Authorized official

Name
Robert Tarantino
Title
Office Manager
Phone
(619) 462-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A41845 CA Primary

Addresses

Primary practice location

8881 Fletcher Pkwy
Ste 370
La Mesa, CA 91942

Mailing address

8881 Fletcher Pkwy
Ste 370
La Mesa, CA 91942-3134
Phone (619) 462-5555

Other identifiers 1

IdentifierTypeStateIssuer
GR0084090MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040412001542 CA Part B Supplier - Clinic/Group Practice 9335133446 Receives reassigned benefits from 6 practitioners
Practice locations: La Mesa, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0566313Caring Physicians Medical Group Inc8881 Fletcher Pkwy, #370, La Mesa, CA 91942Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

8881 Fletcher Pkwy
Ste 370
La Mesa, CA 91942
Phone (619) 258-4000

8881 Fletcher Pkwy
#102L
La Mesa, CA 91942
Phone (619) 462-5555

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1669680559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY",
            "address_2": "STE 370",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423134",
            "telephone_number": "619-462-5555",
            "fax_number": "619-462-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY",
            "address_2": "STE 370",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "91942",
            "telephone_number": "619-462-5555",
            "fax_number": "619-462-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING PHYSICIANS MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "TARANTINO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "619-462-5555"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A41845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0084090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.