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

San Carlos Medical Group

Organization Family Medicine Physician · NPI 1528120250

San Carlos Medical Group is a Family Medicine Physician in LA Mesa, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
5

Practice location Address checks out

8881 Fletcher Pkwy Ste 105
LA Mesa, CA 91942-3134
Phone: (619) 460-3311
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence G71174 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence G36980 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence G62330 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence G73372 (CA)
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X · Licence A73439 (CA)

Record details

NPI number1528120250
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wayne True — C.E.O. · (619) 460-3311
NPI enumeratedDecember 16, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address8881 Fletcher Pkwy, Suite 105, La Mesa, CA 91942-3134

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