Individual provider Active NPI

Amilcare Gentili, MD

  • Diagnostic Radiology Physician
  • San Diego, CA
National Provider Identifier
1922086594
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A44208 Issued in CA
Practice address
12519 Grevillea Place
San Diego, CA 92160-4896
Phone
(216) 255-5700
Fax
(216) 255-5701
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A44208 CA Primary

Addresses

Primary practice location

12519 Grevillea Place
San Diego, CA 92160-4896

Mailing address

23625 Commerce Park
Suite 204
Beachwood, OH 44122
Phone (216) 255-5701

Other identifiers 2

IdentifierTypeStateIssuer
34196095944193OtherTRICARE WEST
00A442080MedicaidCA

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
I20040512000665 CA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 9133118201 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of CaliforniaGroup PAC ID 3577476761, 2,047 clinicians

Practice addresses (Care Compare)

1200 Garden View Rd
Suite 210
Encinitas, CA 92024-2475
Phone (800) 926-8273

1415 Ross Ave
El Centro, CA 92243-4306
Phone (800) 926-8273

16950 Via Tazon
San Diego, CA 92127-1607
Phone (800) 926-8273

200 W Arbor Dr
San Diego, CA 92103-1911

200 W Arbor Dr
San Diego, CA 92103-9000
Phone (858) 657-7000

447 N El Camino Real
Encinitas, CA 92024-1302
Phone (858) 657-7000

495 E Birch St
Calexico, CA 92231-2374
Phone (800) 926-5273

6655 Alvarado Rd
San Diego, CA 92120-5208
Phone (800) 926-8273

9300 Campus Point Dr
La Jolla, CA 92037-1300
Phone (800) 926-8273

9350 Campus Point Dr
La Jolla, CA 92037-1300
Phone (800) 926-8273

9400 Campus Point Dr
La Jolla, CA 92093-1350
Phone (800) 926-8273

9415 Campus Point Dr
La Jolla, CA 92093-1350
Phone (800) 926-8273

9434 Medical Ctr Dr
La Jolla, CA 92037-1337
Phone (800) 926-8273

9452 Medical Ctr Dr
La Jolla, CA 92037-1337
Phone (800) 926-8273

Hospital & facility affiliations

  • UC San Diego Health Hillcrest - Hillcrest Med Ctr Hospital, San Diego, CA, CCN 050025
  • El Centro Regional Medical Center Hospital, El Centro, CA, CCN 050045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44208CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Ucsd Department of Radiology Diagnostic Radiology CurrentSince Nov 2, 2010 Accepting new patients
Scripps Health CurrentSince Jun 1, 2013 Accepting new patients
Scripps Health Family Medicine Current Accepting new patients
Regents of the University of California Diagnostic Radiology CurrentSince Sep 4, 2002 Accepting new patients
Regents of the University of California Diagnostic Radiology CurrentSince Sep 4, 2002 Accepting new patients
Scripps Health Family Medicine CurrentSince Jun 1, 2013 Accepting new patients
Franklin & Seidelmann Inc Diagnostic Radiology Past Accepting new patients
Regents of the University of California Past Accepting new patients
Scripps Health Past Accepting new patients
Med Tel International Corporation Past Accepting new patients
Med Tel International Corporation Past Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients
Med Tel International Corporation Past Accepting new patients
Franklin & Seidelmann Medical Corp Diagnostic Radiology Past Accepting new patients
UCLA Radiology Medical Group Diagnostic Radiology Past Accepting new patients

Locations

9452 Medical Center Dr
La Jolla, CA 92037
Phone (858) 246-2016

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

9300 Campus Point Dr
La Jolla, CA 92037
Phone (619) 957-7000

9300 Campus Point Dr
#7756
La Jolla, CA 92037
Phone (858) 657-6650

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

6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130

4250 1st Ave
San Diego, CA 92103
Phone (415) 290-8175

9730 Summers Ridge Rd
#100
San Diego, CA 92121
Phone (858) 549-7400

330 Lewis St
Ste 400
San Diego, CA 92103
Phone (619) 471-9250

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

200 W Arbor Dr
Ste I505
San Diego, CA 92103

16950 Via Tazon
San Diego, CA 92127
Phone (858) 521-2265

8929 University Center Ln
Ste 101
San Diego, CA 92122
Phone (858) 457-4227

3811 Valley Centre Dr
San Diego, CA 92130
Phone (858) 554-8645

8929 University Center Ln
San Diego, CA 92122
Phone (855) 543-0333

408 Dickinson St
San Diego, CA 92103
Phone (619) 471-0513

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

Hospital & facility affiliations 2

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1922086594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23625 COMMERCE PARK",
            "address_2": "SUITE 204",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "216-255-5701",
            "fax_number": "216-255-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12519 GREVILLEA PLACE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921604896",
            "telephone_number": "216-255-5700",
            "fax_number": "216-255-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTILI",
        "first_name": "AMILCARE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A44208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE WEST",
            "identifier": "34196095944193",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A442080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.