OrganizationActive
Advanced Pediatric Medical Group Inc
NPI 1558459180 · Primary Care Clinic/Center · San Diego, CA
Provider details
- NPI number
- 1558459180
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jay Sadrieh, President and Officer(858) 268-0702
- License
- A46462 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
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
5222 Balboa Ave
Suite 42
San Diego, CA 92117-6904
Phone: (858) 268-0702
Fax: (858) 268-0374
Street-level locationGet directions
Mailing address
5222 Balboa Ave
San Diego, CA 92117-6991
Registry dates
- Enumerated
- 2006-10-10
- Last updated
- 2013-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.