OrganizationActive
Advanced MD Medical Group Inc
NPI 1780128256 · General Practice Physician · San Diego, CA
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
Established profile(71/100 index)
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
2878 Camino Del Rio S Ste 404
San Diego, CA 92108-3848
Phone: (858) 345-4887
Street-level locationGet directions
Mailing address
235 W Washington Ave
Escondido, CA 92025-2634
Registry dates
- Enumerated
- 2016-12-18
- Last updated
- 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.