IndividualActive
Jared Tallo, MD
NPI 1063167468 · General Practice Physician · San Diego, CA
Jared Tallo, MD is a General Practice Physician provider in San Diego, CA (NPI 1063167468).
Provider details
- NPI number
- 1063167468
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 0101279363 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
34800 Bob Wilson Dr
San Diego, CA 92134-1098
Phone: (619) 643-8100
Fax: (619) 532-7272
Street-level locationGet directions
Mailing address
10285 Rookwood Dr
San Diego, CA 92131-1612
Registry dates
- Enumerated
- 2022-02-15
- Last updated
- 2025-12-09
- Certified
- 2025-12-09
Frequently asked questions
- What is Jared Tallo's NPI number?
- Jared Tallo's National Provider Identifier (NPI) is 1063167468, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jared Tallo's specialty?
- Jared Tallo is listed in the NPPES registry with a primary specialty of General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Jared Tallo located?
- Jared Tallo's practice location on file with NPPES is 34800 Bob Wilson Dr, San Diego, CA 92134-1098.
- What is Jared Tallo's phone number?
- The practice phone number listed in the NPPES registry for Jared Tallo is (619) 643-8100.
- Is Jared Tallo's NPI active?
- Yes — Jared Tallo's NPI (1063167468) is active in the NPPES registry as of the last update on 2025-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.