Individual provider Active NPI

Gary Paul McFeeters, M.D.

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1790813962
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A-311896 Issued in CA
Practice address
7525 Linda Vista Rd
San Diego, CA 92111-5301
Phone
(858) 277-2361
Fax
(858) 569-1981
NPI assigned
Mar 1, 2007
Last updated
Jul 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A-311896 CA Primary

Addresses

Primary practice location

7525 Linda Vista Rd
San Diego, CA 92111-5301

Mailing address

7525 Linda Vista Rd
San Diego, CA 92111-5301
Phone (858) 277-2361

Other identifiers 1

IdentifierTypeStateIssuer
GR0040150MedicaidCA

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
I20120607000748 CA Practitioner - Family Practice 8921262684

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A-311896CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kearny Mesa Medical Group Family Medicine CurrentSince Dec 1, 1985 Accepting new patients

Locations

7525 Linda Vista Rd
San Diego, CA 92111
Phone (858) 277-2361

7525 Linda Vista Rd
Ste A
San Diego, CA 92111
Phone (858) 277-2361

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1790813962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 LINDA VISTA RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921115301",
            "telephone_number": "858-277-2361",
            "fax_number": "858-569-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 LINDA VISTA RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921115301",
            "telephone_number": "858-277-2361",
            "fax_number": "858-569-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFEETERS",
        "first_name": "GARY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A-311896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0040150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.