Organization Active NPI

Tesla Medical Group

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1902320153
Registry record updated Jul 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TESLA MEDICAL GROUP
Practice address
4203 Genesee Ave Ste 103
San Diego, CA 92117-4950
Phone
(619) 674-9072
NPI assigned
Jul 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2017

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

Authorized official

Name
Prof. Narayan Bommireddy
Title
Manager
Phone
(858) 247-2510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4203 Genesee Ave Ste 103
San Diego, CA 92117-4950

Mailing address

4203 Genesee Ave Ste 103
San Diego, CA 92117-4950

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501459200000",
    "number": "1902320153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 GENESEE AVE STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921174950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 GENESEE AVE STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921174950",
            "telephone_number": "619-674-9072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESLA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-31",
        "last_updated": "2017-07-31",
        "status": "A",
        "authorized_official_last_name": "BOMMIREDDY",
        "authorized_official_first_name": "NARAYAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "858-247-2510",
        "authorized_official_name_prefix": "Prof."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.