| La Jolla Village Family Medical Group | |
|
8950 Villa La Jolla Dr Ste C129 La Jolla CA 92037-1707 | |
| (858) 450-5900 | |
| (858) 450-5903 |
| Full Name | La Jolla Village Family Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 8950 Villa La Jolla Dr Ste C129, La Jolla, California |
| Authorized Official Name and Position | Daniel Michaels (PRESIDENT) |
| Authorized Official Contact | 8584505900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Jolla Village Family Medical Group 8950 Villa La Jolla Dr Ste C129 La Jolla CA 92037-1707 Ph: (858) 450-5900 | La Jolla Village Family Medical Group 8950 Villa La Jolla Dr Ste C129 La Jolla CA 92037-1707 Ph: (858) 450-5900 |
| NPI Number | 1316244619 |
|---|---|
| Provider Enumeration Date | 02/22/2011 |
| Last Update Date | 08/28/2025 |
| Certification Date | 08/28/2025 |
| Medicare PECOS PAC ID | 4082899984 |
|---|---|
| Medicare Enrollment ID | O20110419000371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316244619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G63920 (California) | Primary |
| Provider Name | Daniel Michaels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346302130 PECOS PAC ID: 1658275789 Enrollment ID: I20031120000972 |
| Provider Name | Jonathan L Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184954455 PECOS PAC ID: 6800833526 Enrollment ID: I20050414000423 |
| Provider Name | Elena Dembo-smeaton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184795296 PECOS PAC ID: 2961688585 Enrollment ID: I20110517000173 |
| Provider Name | Jane Marie Hadinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629158589 PECOS PAC ID: 1355508714 Enrollment ID: I20120214000075 |
| Provider Name | Margaret M Gold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831178169 PECOS PAC ID: 1355399650 Enrollment ID: I20140129000686 |
| Provider Name | Joseph I Langub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902193360 PECOS PAC ID: 4880913631 Enrollment ID: I20150429002052 |
| Provider Name | Mariam Bonyadi Camacho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457937898 PECOS PAC ID: 9537606777 Enrollment ID: I20240805003897 |
| Provider Name | Leah Marie Forrest |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821965450 PECOS PAC ID: 8820566722 Enrollment ID: I20260508002872 |
Prima Primary Medical Association, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9850 Genesee Ave, Suite 355, La Jolla, CA 92037 Phone: 858-202-0011 Fax: 858-202-0055 |
Scripps Clinic Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10666 N Torrey Pines Rd, 201 N, La Jolla, CA 92037 Phone: 858-554-6158 |
La Jolla Personal Physicians Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9834 Genesee Ave Ste 400, La Jolla, CA 92037 Phone: 858-587-4773 Fax: 858-587-4785 |
Essential Healthcare Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9850 Genesee Avenue, Suite 820, La Jolla, CA 92037 Phone: 858-453-5200 Fax: 858-453-5160 |
Rhona H. Fink, MD & Julie A. Papatheofanis, MD Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9850 Genesee Ave, Suite 370, La Jolla, CA 92037 Phone: 858-362-0616 |
Robert I Fox, MD, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9850 Genesee Ave, #910, La Jolla, CA 92037 Phone: 858-457-2023 Fax: 858-457-2721 |