Advanced MD Medical Group Inc
NPI 1780128256 · General Practice Physician · San Diego, CA
Advanced MD Medical Group Inc is a General Practice Physician organization in San Diego, CA (NPI 1780128256).
Provider details
- NPI number
- 1780128256
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dirk Kancilia, Administration(858) 345-4887
- License
- G87969 (CA)
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
9 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
- 2016-12-18
- Last updated
- 2016-12-18
Frequently asked questions
- What is Advanced MD Medical Group Inc's NPI number?
- Advanced MD Medical Group Inc's National Provider Identifier (NPI) is 1780128256, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced MD Medical Group Inc?
- Advanced MD Medical Group Inc is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Advanced MD Medical Group Inc located?
- Advanced MD Medical Group Inc's practice location on file with NPPES is 2878 Camino Del Rio S Ste 404, San Diego, CA 92108-3848.
- What is Advanced MD Medical Group Inc's phone number?
- The practice phone number listed in the NPPES registry for Advanced MD Medical Group Inc is (858) 345-4887.
- Who is the authorized official for Advanced MD Medical Group Inc?
- The authorized official listed on Advanced MD Medical Group Inc's NPPES record is Dirk Kancilia, Administration. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced MD Medical Group Inc's NPI active?
- Yes — Advanced MD Medical Group Inc's NPI (1780128256) is active in the NPPES registry as of the last update on 2016-12-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.