Organization Active NPI

One Medical Group, Inc

Doing business as One Medical

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1801666904
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ONE MEDICAL GROUP, INC
Doing business as
One Medical
Practice address
1230 Columbia St Ste 100
San Diego, CA 92101-8502
Phone
(619) 232-3500
Fax
(415) 252-7176
NPI assigned
Jan 9, 2024
Last updated
Jan 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Andrew S Diamond, MD
Title
Chief Medical Officer
Phone
(415) 689-3426

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Internal Medicine Physician 207R00000X
Pediatrics Physician 208000000X

Addresses

Primary practice location

1230 Columbia St Ste 100
San Diego, CA 92101-8502

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791

Other practice location 1

7740 El Camino Real Ste F
Carlsbad, CA 92009-8514
Phone (619) 232-3500

Other practice location 2

4505 La Jolla Village Dr Ste C5
San Diego, CA 92122-1214
Phone (619) 232-3500

Other names 1

  • One Medical Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120416000113 CA Part B Supplier - Clinic/Group Practice 2567623739 Receives reassigned benefits from 367 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Francisco, CA; San Jose, CA; San Mateo, CA; San Rafael, CA; San Ramon, CA; Sunnyvale, CA; Walnut Creek, CA; Mill Valley, CA…

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2169103One Medical With Ucsd - Downtown San Diego1230 Columbia Street, Suite 100 - Commercial, San Diego, CA 92101Provider-performed microscopyJul 15, 2027
05D2345356One Medical - Downtown San Diego1230 Columbia Street, Suite 100 - Seniors/Enterpri, San Diego, CA 92101Certificate of waiverJun 8, 2028

National Provider Directory

National Provider Directory

Locations

7740 El Camino Real
Carlsbad, CA 92009

4505 La Jolla Village Dr
San Diego, CA 92122

4505 La Jolla Village Dr
Ste C5
San Diego, CA 92122
Phone (619) 232-3500

Practitioners & affiliated clinicians

Practitioners 34

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.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1801666904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 COLUMBIA ST STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921018502",
            "telephone_number": "619-232-3500",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7740 El Camino Real Ste F",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920098514",
            "country_code": "US",
            "telephone_number": "619-232-3500",
            "fax_number": "415-252-7176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4505 La Jolla Village Dr Ste C5",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921221214",
            "country_code": "US",
            "telephone_number": "619-232-3500",
            "fax_number": "415-252-7176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ONE MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "DIAMOND",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "415-689-3426",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Medical",
            "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 Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.