MEDIPARK PHYSICIANS GROUP P.C. NPI 1609696319

NPI Information

  • NPI: 1609696319
  • Provider Name: MEDIPARK PHYSICIANS GROUP P.C.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 7825 ENGINEER RD STE 100
    SAN DIEGO, CA
    ZIP 92111
  • Phone: (858) 277-7111

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NPI Details

MEDIPARK PHYSICIANS GROUP P.C. is a family medicine in San Diego, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MEDIPARK PHYSICIANS GROUP P.C. NPI is 1609696319. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7825 ENGINEER RD STE 100
SAN DIEGO, CA
ZIP 92111-924
Phone: (858) 277-7111
Fax: (858) 277-7667

The provider's authorized official is Jessica Baik .
The authorized official title is Representative and has the following contact phone number (858) 277-7111.

The enumeration date for this NPI number is 10/16/2024 and was last updated on 10/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11699799593MEDICAIDCALIFORNIA
21386168821MEDICAIDCALIFORNIA
31083827273MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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