Organization Active NPI

San Diego SNF Hospitalists

  • Internal Medicine Physician
  • La Jolla, CA
National Provider Identifier
1730431909
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G75591 Issued in CA
Legal business name
SAN DIEGO SNF HOSPITALISTS
Practice address
7514 Girard Ave Ste 1731
La Jolla, CA 92037-5149
Phone
(858) 500-2693
Fax
(858) 500-3699
NPI assigned
Oct 11, 2012
Last updated
Feb 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Authorized official

Name
Greg Lewis, MDNPI 1063447811
Title
Secretary
Phone
(866) 284-2771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G75591 CA Primary

Addresses

Primary practice location

7514 Girard Ave Ste 1731
La Jolla, CA 92037-5149

Mailing address

7514 Girard Ave Ste 1731
La Jolla, CA 92037-5149
Phone (858) 500-2693

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130220000235 CA Part B Supplier - Clinic/Group Practice 4981859154 Receives reassigned benefits from 7 practitioners
Practice locations: San Diego, CA; National City, CA; La Jolla, CA

National Provider Directory

National Provider Directory

Locations

7675 Family Cir
San Diego, CA 92111
Phone (858) 218-6568

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1730431909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7514 GIRARD AVE STE 1731",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375149",
            "telephone_number": "858-500-2693",
            "fax_number": "858-500-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7514 GIRARD AVE STE 1731",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375149",
            "telephone_number": "858-500-2693",
            "fax_number": "858-500-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO SNF HOSPITALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "866-284-2771",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G75591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.