Individual provider Active NPI

Michael E Cardenas, MD

  • Obstetrics & Gynecology Physician
  • San Diego, CA
National Provider Identifier
1922070242
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A96192 Issued in CA
Practice address
7510 Hazard Center Dr Ste 607
San Diego, CA 92108-4525
Phone
(619) 838-2577
NPI assigned
Feb 2, 2006
Last updated
Oct 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A96192 CA Primary
Obstetrics & Gynecology Physician 207V00000X 0101056144 VA

Addresses

Primary practice location

7510 Hazard Center Dr Ste 607
San Diego, CA 92108-4525

Mailing address

PO Box 232410
San Diego, CA 92193-2410

Other practice location 1

7425 Mission Valley Rd
San Diego, CA 92108-4409
Phone (619) 245-2360

Other practice location 2

2445 Truxtun Rd
San Diego, CA 92106-6153
Phone (619) 245-2360

Other practice location 3

200 W Arbor Dr
San Diego, CA 92103-9000
Phone (800) 926-8273

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
I20211027000783 CA Practitioner - Obstetrics/Gynecology 8123416963 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Pennsylvania State University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scripps HealthGroup PAC ID 9234033853, 1,450 clinicians

Practice addresses (Care Compare)

7425 Mission Valley Rd
San Diego, CA 92108-4409
Phone (619) 245-2350

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A96192CAMDObstetrics & Gynecology Physician
0101056144VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Obstetrics & Gynecology CurrentSince Aug 4, 2021 Accepting new patients
Scripps Health Obstetrics & Gynecology CurrentSince Nov 7, 2022 Accepting new patients
Regents of the University of California CurrentSince Aug 4, 2021 Accepting new patients
Scripps Health CurrentSince Nov 7, 2022 Accepting new patients
Scripps Health Obstetrics & Gynecology Current Accepting new patients
Scripps Clinic Medical Group Past Accepting new patients
Regents of the University of California Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

2445 Truxtun Rd
San Diego, CA 92106
Phone (619) 245-2360

2445 Truxtun Rd
Ste 200
San Diego, CA 92106
Phone (619) 272-5200

2918 5th Ave
Ste 100
San Diego, CA 92103
Phone (619) 260-0134

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1922070242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921932410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7510 HAZARD CENTER DR STE 607",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084525",
            "telephone_number": "619-838-2577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7425 Mission Valley Rd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921084409",
            "country_code": "US",
            "telephone_number": "619-245-2360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2445 Truxtun Rd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921066153",
            "country_code": "US",
            "telephone_number": "619-245-2360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 W Arbor Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921039000",
            "country_code": "US",
            "telephone_number": "800-926-8273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A96192",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101056144",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.