OrganizationActive
San Diego Prep Inc
NPI 1144916248 · Internal Medicine Physician · San Diego, CA
Provider details
- NPI number
- 1144916248
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Anthony Fam, Coo(559) 579-8343
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
1665 Union St Ste a
San Diego, CA 92101-2906
Phone: (619) 736-1772
Fax: (619) 373-9206
Street-level locationGet directions
Mailing address
1665 Union St Ste a
San Diego, CA 92101-2906
Registry dates
- Enumerated
- 2023-04-12
- Last updated
- 2023-04-12
- Certified
- 2023-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.