Kearny Mesa Medical Group
NPI 1417075383 · Family Medicine Physician · San Diego, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kearny Mesa Medical Group is a Family Medicine Physician organization in San Diego, CA (NPI 1417075383).
Provider details
- NPI number
- 1417075383
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Noelle Blakely, Admin.(858) 277-2361
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
Registry dates
- Enumerated
- 2007-03-27
- Last updated
- 2020-08-22
Frequently asked questions
- What is Kearny Mesa Medical Group's NPI number?
- Kearny Mesa Medical Group's National Provider Identifier (NPI) is 1417075383, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kearny Mesa Medical Group?
- Kearny Mesa Medical Group is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kearny Mesa Medical Group located?
- Kearny Mesa Medical Group's practice location on file with NPPES is 7525 Linda Vista Rd, San Diego, CA 92111-5301.
- What is Kearny Mesa Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Kearny Mesa Medical Group is (858) 277-2361.
- Does Kearny Mesa Medical Group accept Medicare?
- Kearny Mesa Medical Group is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kearny Mesa Medical Group?
- The authorized official listed on Kearny Mesa Medical Group's NPPES record is Noelle Blakely, Admin.. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kearny Mesa Medical Group's NPI active?
- Yes — Kearny Mesa Medical Group's NPI (1417075383) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.