Mark R Medina & Thomas Kerrian
NPI 1417062472 · General Practice Dentistry · San Diego, CA
Mark R Medina & Thomas Kerrian is a General Practice Dentistry organization in San Diego, CA (NPI 1417062472).
Provider details
- NPI number
- 1417062472
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Thomas Kerrian, Dentist(858) 484-3100
- License
- 25595 (CA)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Other names (DBA / former)
- Doing business as
- Rancho Penasquitos Dental Center
Registry dates
- Enumerated
- 2006-08-20
- Last updated
- 2008-07-17
Frequently asked questions
- What is Mark R Medina & Thomas Kerrian's NPI number?
- Mark R Medina & Thomas Kerrian's National Provider Identifier (NPI) is 1417062472, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mark R Medina & Thomas Kerrian?
- Mark R Medina & Thomas Kerrian is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Mark R Medina & Thomas Kerrian located?
- Mark R Medina & Thomas Kerrian's practice location on file with NPPES is 9955 Carmel Mountain Rd Ste 4, San Diego, CA 92129-2815.
- What is Mark R Medina & Thomas Kerrian's phone number?
- The practice phone number listed in the NPPES registry for Mark R Medina & Thomas Kerrian is (858) 484-3100.
- Who is the authorized official for Mark R Medina & Thomas Kerrian?
- The authorized official listed on Mark R Medina & Thomas Kerrian's NPPES record is Thomas Kerrian, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mark R Medina & Thomas Kerrian's NPI active?
- Yes — Mark R Medina & Thomas Kerrian's NPI (1417062472) is active in the NPPES registry as of the last update on 2008-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.