Agereversalmd.com a Professional Corporation
NPI 1194450023 · Public Health or Welfare Agency · La Jolla, CA
Agereversalmd.com a Professional Corporation is a Public Health or Welfare Agency organization in La Jolla, CA (NPI 1194450023).
Provider details
- NPI number
- 1194450023
- Entity type
- Organization
- Primary specialty
- Public Health or Welfare AgencyAgencies
- Organization subpart
- No
- Authorized official
- Phillip Milgram, Ceo(858) 776-0544
Specialties & taxonomies
Agencies
- Gynecology Physician207VG0400X
Allopathic & Osteopathic Physicians
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
- Pain Clinic/Center261QP3300X
Ambulatory Health Care Facilities
Profile Score
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
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 1207 Carlsbad Village Dr Ste QCarlsbad, CA 92008-1958Phone: (760) 944-9200Fax: (760) 692-4411
Registry dates
- Enumerated
- 2022-07-24
- Last updated
- 2022-07-24
- Certified
- 2022-07-24
Frequently asked questions
- What is Agereversalmd.com a Professional Corporation's NPI number?
- Agereversalmd.com a Professional Corporation's National Provider Identifier (NPI) is 1194450023, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Agereversalmd.com a Professional Corporation?
- Agereversalmd.com a Professional Corporation is classified in the NPPES registry as Public Health or Welfare Agency (Agencies).
- Where is Agereversalmd.com a Professional Corporation located?
- Agereversalmd.com a Professional Corporation's practice location on file with NPPES is 3252 Holiday Ct Ste 211, La Jolla, CA 92037-0027.
- What is Agereversalmd.com a Professional Corporation's phone number?
- The practice phone number listed in the NPPES registry for Agereversalmd.com a Professional Corporation is (858) 776-0544.
- Who is the authorized official for Agereversalmd.com a Professional Corporation?
- The authorized official listed on Agereversalmd.com a Professional Corporation's NPPES record is Phillip Milgram, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Agereversalmd.com a Professional Corporation's NPI active?
- Yes — Agereversalmd.com a Professional Corporation's NPI (1194450023) is active in the NPPES registry as of the last update on 2022-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.