OrganizationActive
Colonial Corner Medical Group, Inc.
NPI 1669596557 · Specialist · San Diego, CA
Colonial Corner Medical Group, Inc. is a Specialist organization in San Diego, CA (NPI 1669596557).
Provider details
- NPI number
- 1669596557
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Elizabeth David, Finance Manager(619) 582-5105
- License
- G86752 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 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
4440 Euclid Ave # C
San Diego, CA 92115-4522
Phone: (619) 582-5105
Fax: (619) 582-5121
Street-level locationGet directions
Mailing address
4440 Euclid Ave # C
San Diego, CA 92115-4522
Other names (DBA / former)
- Other name
- Colonial Corner Medical Group, Inc.
- Other name
- Colonial Corner Medical Group, Inc.
Registry dates
- Enumerated
- 2007-03-18
- Last updated
- 2022-07-21
Frequently asked questions
- What is Colonial Corner Medical Group, Inc.'s NPI number?
- Colonial Corner Medical Group, Inc.'s National Provider Identifier (NPI) is 1669596557, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Colonial Corner Medical Group, Inc.?
- Colonial Corner Medical Group, Inc. is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Colonial Corner Medical Group, Inc. located?
- Colonial Corner Medical Group, Inc.'s practice location on file with NPPES is 4440 Euclid Ave # C, San Diego, CA 92115-4522.
- What is Colonial Corner Medical Group, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Colonial Corner Medical Group, Inc. is (619) 582-5105.
- Who is the authorized official for Colonial Corner Medical Group, Inc.?
- The authorized official listed on Colonial Corner Medical Group, Inc.'s NPPES record is Elizabeth David, Finance Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Colonial Corner Medical Group, Inc.'s NPI active?
- Yes — Colonial Corner Medical Group, Inc.'s NPI (1669596557) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.