OrganizationActive
San Diego Regional P.e.t. Center, LLC
NPI 1104879121 · Nuclear Medicine Physician · San Diego, CA
Provider details
- NPI number
- 1104879121
- Entity type
- Organization
- Primary specialty
- Nuclear Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tom Cleary, Manager(858) 499-0230
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
7625 Mesa College Dr
102
San Diego, CA 92111-5343
Phone: (858) 499-0230
Fax: (858) 499-0231
Street-level locationGet directions
Mailing address
Po Box 910026
San Diego, CA 92191-0026
Registry dates
- Enumerated
- 2006-05-19
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.