Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Presidio Medical Group Inc

Organization Family Medicine Physician · NPI 1003996216

Presidio Medical Group Inc is a Family Medicine Physician in San Diego, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4440 Lamont St
San Diego, CA 92109-4560
Phone: (858) 270-7633
Fax: (858) 270-7692
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (CA)

Record details

NPI number1003996216
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Novak — President · (858) 272-0022
NPI enumeratedOctober 16, 2006
Last updated in NPPESAugust 22, 2020
Mailing address4440 Lamont St, San Diego, CA 92109-4560

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