OrganizationActive
Passport Health
NPI 1578896486 · Clinic/Center · San Diego, CA
Provider details
- NPI number
- 1578896486
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Denise Lozares, Director(619) 293-3963
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
2525 Camino Del Rio S Ste 325
San Diego, CA 92108-3784
Phone: (619) 293-3963
Fax: (619) 293-3936
Street-level locationGet directions
Mailing address
2525 Camino Del Rio S Ste 325
San Diego, CA 92108-3784
Registry dates
- Enumerated
- 2009-09-09
- Last updated
- 2009-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.