Individual provider Active NPI

Michael Griffin Swanson, D.O.

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1801868633
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A 9658 Issued in CA
Practice address
MCRD Branch Health Clinic
35000 Guadalcanal Ave
San Diego, CA 92140-5002
Phone
(619) 524-4079
Fax
(619) 521-0852
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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 20A 9658 CA Primary

Addresses

Primary practice location

MCRD Branch Health Clinic
35000 Guadalcanal Ave
San Diego, CA 92140-5002

Mailing address

45450 Peacock PL
Temecula, CA 92592-4828
Phone (619) 261-8611

Other names 1

  • Dr. Michael Griffin Swanson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A 9658CAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1801868633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45450 PEACOCK PL",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925924828",
            "telephone_number": "619-261-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MCRD BRANCH HEALTH CLINIC",
            "address_2": "35000 GUADALCANAL AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921405002",
            "telephone_number": "619-524-4079",
            "fax_number": "619-521-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "MICHAEL",
        "middle_name": "GRIFFIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A 9658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "SWANSON",
            "middle_name": "GRIFFIN",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.