Organization Active NPI

The Gore Medical Group Inc.

  • Family Medicine Physician
  • Poway, CA
National Provider Identifier
1982592705
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THE GORE MEDICAL GROUP INC.
Practice address
15708 Pomerado Rd Ste N201
Poway, CA 92064-2066
Phone
(858) 524-6088
Fax
(858) 726-6252
NPI assigned
Jun 27, 2025
Last updated
Feb 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Authorized official

Name
Nikita Chand Gore, MDNPI 1265965107
Title
Owner/Physician
Phone
(909) 374-1230

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
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

15708 Pomerado Rd Ste N201
Poway, CA 92064-2066

Mailing address

6755 Mira Mesa Blvd Ste 123
#169
San Diego, CA 92121-4311
Phone (858) 800-3850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251203003188 CA Part B Supplier - Clinic/Group Practice 6507359940 Receives reassigned benefits from 1 practitioner
Practice locations: Poway, CA

National Provider Directory

National Provider Directory

Locations

15708 Pomerado Rd
Ste N201
Poway, CA 92064
Phone (858) 487-4310

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1750982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1982592705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6755 MIRA MESA BLVD STE 123",
            "address_2": "#169",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214311",
            "telephone_number": "858-800-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15708 POMERADO RD STE N201",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642066",
            "telephone_number": "858-524-6088",
            "fax_number": "858-726-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GORE MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-27",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "GORE",
        "authorized_official_first_name": "NIKITA",
        "authorized_official_middle_name": "CHAND",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "909-374-1230",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.