Organization Active NPI

Del Re Medical Corp

  • Pediatrics Physician
  • San Diego, CA
National Provider Identifier
1962361105
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
DEL RE MEDICAL CORP
Practice address
9333 Genesee Ave Ste 250
San Diego, CA 92121-2139
Phone
(858) 215-1144
Fax
(760) 257-1951
NPI assigned
Jan 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Authorized official

Name
Dr. Angelo Michael Del Re, MDNPI 1275761371
Title
Physician/Director/Owner
Phone
(843) 834-0100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

9333 Genesee Ave Ste 250
San Diego, CA 92121-2139

Mailing address

315 S Coast Highway 101 Ste U148
Encinitas, CA 92024-3543
Phone (843) 834-0100

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2285636Del Re Medical Corp9333 Genesee Ave Suite 250, San Diego, CA 92121Certificate of waiverJul 13, 2027

National Provider Directory

National Provider Directory

Locations

315 S Coast Highway 101
Ste U148
Encinitas, CA 92024

9333 Genesee Ave
Ste 250
San Diego, CA 92121
Phone (619) 810-7027

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": "1768953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1962361105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 S COAST HIGHWAY 101 STE U148",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243543",
            "telephone_number": "843-834-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 GENESEE AVE STE 250",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212139",
            "telephone_number": "858-215-1144",
            "fax_number": "760-257-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL RE MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-21",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "DEL RE",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN/DIRECTOR/OWNER",
        "authorized_official_telephone_number": "843-834-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "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 Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.