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

Matthew A. Genovese, MD

Individual provider Family Medicine Physician · NPI 1083762983

Matthew A. Genovese, MD is a Family Practice in San Diego, California. Graduated from Creighton University School of Medicine in 1997, 29 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
29
Trained at
Creighton University School of Medicine
Licensed in
CA
In the registry since
2007
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

4647 Zion Ave
San Diego, CA 92120-2507
Phone: (619) 528-5000
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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 · Licence A66908 (CA)

Record details

NPI number1083762983
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 8, 2007
Last updated in NPPESDecember 1, 2021

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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