Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

San Carlos Medical Group

Organization Family Medicine Physician · NPI 1528120250

San Carlos Medical Group provides Family Medicine Physician services in LA Mesa, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
5
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Practice location Address checks out

8881 Fletcher Pkwy Ste 105
LA Mesa, CA 91942-3134
Phone: (619) 460-3311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence G71174 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence G36980 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence G62330 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence G73372 (CA)
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X · Licence A73439 (CA)

Record details

NPI number1528120250
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wayne True — C.E.O. · (619) 460-3311
NPI enumeratedDecember 16, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address8881 Fletcher Pkwy, Suite 105, La Mesa, CA 91942-3134

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