Active NPI
Tesla Medical Group
- Internal Medicine Physician
- San Diego, CA
National Provider Identifier
1902320153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryPractitioners & 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.