Individual provider Active NPI

Priya Jagasia, M.D.

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1679641971
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A111467 Issued in CA
Practice address
11865 Carmel Mountain Rd Ste 1104
San Diego, CA 92128-4610
Phone
(858) 554-1212
Fax
(858) 795-1195
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A111467 CA Primary
Internal Medicine Physician 207R00000X 40640 TN

Addresses

Primary practice location

11865 Carmel Mountain Rd Ste 1104
San Diego, CA 92128-4610

Mailing address

9850 Genesee Ave Ste 320
La Jolla, CA 92037-1208
Phone (858) 554-1212

Other identifiers 1

IdentifierTypeStateIssuer
LICENSEOtherTN40640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20191015003333 CA Practitioner - Internal Medicine 4385749654 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monica Perlman MD IncGroup PAC ID 8820035884, 357 clinicians
GN Medical Associates, IncGroup PAC ID 5092605816, 40 clinicians
Careconnectmd Ca PCGroup PAC ID 5496178055, 30 clinicians

Practice addresses (Care Compare)

11865 Carmel Mountain Rd
Suite 1104
San Diego, CA 92128-4610
Phone (858) 997-2583

3401 W Sunflower Ave
Suite 250
Santa Ana, CA 92704-6948
Phone (714) 619-8777

473 E Carnegie Dr
Suite 200
San Bernardino, CA 92408-4201
Phone (562) 803-4500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A111467CAMDInternal Medicine Physician
40640TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monica Perlman MD Inc. Internal Medicine CurrentSince Aug 23, 2021 Accepting new patients
GN Medical Associates, Inc. CurrentSince Jul 29, 2019 Accepting new patients
Careconnectmd Ca PC CurrentSince Feb 1, 2021 Accepting new patients
Regents of the University of California Past Accepting new patients
Fort Sanders Regional Medical Center Past Accepting new patients
UC San Diego Health - Rancho Family Medical Group Past Accepting new patients
Prisma Health - Blount Memorial Hospital Inc. Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

9850 Genesee Ave
Ste 320
La Jolla, CA 92037
Phone (858) 864-9800

10413 Craftsman Way
Ste 102
San Diego, CA 92127
Phone (858) 281-0707

11865 Carmel Mountain Rd
Ste 1104
San Diego, CA 92128
Phone (858) 997-2583

3737 Moraga Ave
Ste B103
San Diego, CA 92117
Phone (858) 799-0855

1750 Montgomery St
Fl 1
San Francisco, CA 94111
Phone (714) 619-8777

3401 W Sunflower Ave
#250
Santa Ana, CA 92704
Phone (415) 848-8258

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1679641971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 320",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371208",
            "telephone_number": "858-554-1212",
            "fax_number": "858-795-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11865 CARMEL MOUNTAIN RD STE 1104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284610",
            "telephone_number": "858-554-1212",
            "fax_number": "858-795-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGASIA",
        "first_name": "PRIYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A111467",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "40640",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "40640",
            "identifier": "LICENSE",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.