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

Individual provider Internal Medicine Physician · NPI 1073142659

Dr. Neysan Pucks, MD is an Internal Medicine in San Diego, California. Qualified in 2014, 12 years ago. Practices with Legacy Clinics LLC, a 718-clinician group and accepts Medicare assignment. Licensed in California and Oregon.

Years since qualifying
12
Licensed in
CA, OR
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2929 Health Center Dr
San Diego, CA 92123-2762
Phone: (858) 939-5241
Fax: (503) 413-6892
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A203912 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD215330 (OR)

Record details

NPI number1073142659
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2020
Last updated in NPPESApril 4, 2026
Certification dateApril 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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