Trauma Team Medical Group Incorporated
NPI 1417907510 · Emergency Medicine Physician · San Diego, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Trauma Team Medical Group Incorporated is a Emergency Medicine Physician organization in San Diego, CA (NPI 1417907510).
Provider details
- NPI number
- 1417907510
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Vishal Bansal, President(619) 298-3100
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
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
Mailing address
Registry dates
- Enumerated
- 2006-05-11
- Last updated
- 2024-02-06
- Certified
- 2024-02-06
Frequently asked questions
- What is Trauma Team Medical Group Incorporated's NPI number?
- Trauma Team Medical Group Incorporated's National Provider Identifier (NPI) is 1417907510, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Trauma Team Medical Group Incorporated?
- Trauma Team Medical Group Incorporated is classified in the NPPES registry as Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Trauma Team Medical Group Incorporated located?
- Trauma Team Medical Group Incorporated's practice location on file with NPPES is 4077 Fifth Ave, San Diego, CA 92103-2105.
- What is Trauma Team Medical Group Incorporated's phone number?
- The practice phone number listed in the NPPES registry for Trauma Team Medical Group Incorporated is (619) 294-8111.
- Does Trauma Team Medical Group Incorporated accept Medicare?
- Trauma Team Medical Group Incorporated 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 Trauma Team Medical Group Incorporated?
- The authorized official listed on Trauma Team Medical Group Incorporated's NPPES record is Vishal Bansal, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Trauma Team Medical Group Incorporated's NPI active?
- Yes — Trauma Team Medical Group Incorporated's NPI (1417907510) is active in the NPPES registry as of the last update on 2024-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.