NPIMap

Organization Active NPI

Ophelia Medical Group Ca PC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • San Diego, CA
National Provider Identifier
1760153381
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
Legal business name
OPHELIA MEDICAL GROUP CA PC
Doing business as
Ophelia Medical Group CA, P.C.
Practice address
6920 Miramar Road
Suite 329
San Diego, CA 92121-2642
Phone
(215) 585-2144
Fax
(267) 780-7032
NPI assigned
Sep 23, 2021
Last updated
Sep 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Dr. Arthur R Williams IV, MDNPI 1063739985
Title
Owner
Phone
(347) 857-8015

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
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084A0401X Primary

Addresses

Primary practice location

6920 Miramar Road
Suite 329
San Diego, CA 92121-2642

Mailing address

228 Park Ave S Ste 15314
New York, NY 10003-1502
Phone (215) 585-2144

Other practice location 1

228 Park Ave S Ste 15314
New York, NY 10003-1502
Phone (215) 585-2144

Other names 1

  • Ophelia Medical Group CA, P.C. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220421001174 CA Part B Supplier - Clinic/Group Practice 5294126587 Receives reassigned benefits from 10 practitioners
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

6920 Miramar Rd
Ste 329
San Diego, CA 92121

Practitioners & affiliated clinicians

Practitioners 11

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": "1632355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1760153381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 PARK AVE S STE 15314",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031502",
            "telephone_number": "215-585-2144",
            "fax_number": "833-228-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 MIRAMAR ROAD",
            "address_2": "SUITE 329",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212642",
            "telephone_number": "215-585-2144",
            "fax_number": "267-780-7032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "228 Park Ave S Ste 15314",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100031502",
            "country_code": "US",
            "telephone_number": "215-585-2144",
            "fax_number": "833-228-5591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPHELIA MEDICAL GROUP CA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-23",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-857-8015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ophelia Medical Group CA, P.C.",
            "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 Sep 10, 2025; 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.