Organization Active NPI

George Delgado M.D., Inc.

Doing business as Culture of Life Family Health Care

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1700996923
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G66807 Issued in CA
Legal business name
GEORGE DELGADO M.D., INC.
Doing business as
Culture of Life Family Health Care
Practice address
5030 Camino de la Siesta
Ste. 106
San Diego, CA 92108-3116
Phone
(619) 692-4401
Fax
(619) 692-8147
NPI assigned
Aug 30, 2006
Last updated
Mar 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Authorized official

Name
Mr. Joseph R Anderson
Title
Medical Practice Manager
Phone
(619) 692-4401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G66807 CA Primary

Addresses

Primary practice location

5030 Camino de la Siesta
Ste. 106
San Diego, CA 92108-3116

Mailing address

5030 Camino de la Siesta
Ste. 106
San Diego, CA 92108-3116
Phone (619) 692-4401

Other identifiers 2

IdentifierTypeStateIssuer
00G668070MedicaidCA
1083639470OtherCAINDIVIDUAL NPI #

Other names 1

  • Culture of Life Family Health Care Doing business as

National Provider Directory

National Provider Directory

Locations

550 Washington St
Ste 801
San Diego, CA 92103
Phone (619) 359-6600

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1700996923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 CAMINO DE LA SIESTA",
            "address_2": "STE. 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083116",
            "telephone_number": "619-692-4401",
            "fax_number": "619-692-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 CAMINO DE LA SIESTA",
            "address_2": "STE. 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083116",
            "telephone_number": "619-692-4401",
            "fax_number": "619-692-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE DELGADO M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL PRACTICE MANAGER",
        "authorized_official_telephone_number": "619-692-4401",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G66807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G668070",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1083639470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Culture of Life Family Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.