NPIMap

Individual provider Active NPI

David Kaufer, MD

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1710082789
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G80107 Issued in CA
Practice address
2934 Ingelow Street
San Diego, CA 92106
Phone
(760) 480-4310
Fax
(760) 480-4350
NPI assigned
Sep 14, 2006
Last updated
Oct 13, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G80107 CA Primary

Addresses

Primary practice location

2934 Ingelow Street
San Diego, CA 92106

Mailing address

2934 Ingelow Street
San Diego, CA 92106
Phone (760) 480-4310

Other identifiers 1

IdentifierTypeStateIssuer
00G801070MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100916000982 CA Practitioner - Internal Medicine 3072682244 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Tufts University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
LF Capital, Inc.Group PAC ID 0244595502, 2 clinicians
Restore Medical GroupGroup PAC ID 1355871161, 3 clinicians

Practice addresses (Care Compare)

438 Camino del Rio S
Suite 203
San Diego, CA 92108-3546
Phone (619) 955-8507

502 Euclid Ave
Suite 200
National City, CA 91950-2984
Phone (858) 546-4300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
7.81 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
26.03

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Salud de la Comunidad de San Ysidro, Inc. Current Accepting new patients
Dap Health, Inc. Current Accepting new patients
Centro de Salud de la Comunidad de San Ysidro, Inc CurrentSince Jun 29, 2024 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro Inc CurrentSince Jun 29, 2024 Accepting new patients
Lightbridge Hospice, LLC Past Accepting new patients
Lightbridge Medical Associates, Inc. PastSince Jan 1, 2010 Accepting new patients

Locations

1637 Third Ave
Ste B
Chula Vista, CA 91911
Phone (619) 425-1780

880 Third Ave
Chula Vista, CA 91911
Phone (619) 205-4585

1136 D Ave
National City, CA 91950
Phone (619) 336-2300

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kdavid19012@syhealth.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1710082789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2934 INGELOW STREET",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92106",
            "telephone_number": "760-480-4310",
            "fax_number": "760-480-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2934 INGELOW STREET",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92106",
            "telephone_number": "760-480-4310",
            "fax_number": "760-480-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFER",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G80107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G801070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.