Martin L Kabongo
REGENTS OF THE UNIVERSITY OF CALIFORNIA - UCSD MEDICAL GROUP


Address: 330 Lewis St, San Diego, CA 92103-2108
Phone: 8586577000

Martin L Kabongo (NPI# 1033168810, PAC ID# 0941237721) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1033168810
PAC ID by PECOS 0941237721
Professional Enrollment ID I20050722000835
Full Name Martin L Kabongo
Organization Legal Name REGENTS OF THE UNIVERSITY OF CALIFORNIA - UCSD MEDICAL GROUP
Address 330 Lewis St
San Diego
CA 92103-2108
Phone Number 8586577000
Gender M
Credential MD
Graduation Year 1986
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 3577476761
Number of Group Practice Members 1362
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050025 UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR

Other Locations

Address Phone Organization
200 W Arbor Dr, San Diego, CA 92103-9000 8586577000 REGENTS OF THE UNIVERSITY OF CALIFORNIA - UCSD MEDICAL GROUP
330 Lewis St, San Diego, CA 92103-2108 8586577000 REGENTS OF THE UNIVERSITY OF CALIFORNIA - UCSD MEDICAL GROUP
9333 Genesee Ave, Suite 200, San Diego, CA 92121-2113 8586577000 REGENTS OF THE UNIVERSITY OF CALIFORNIA - UCSD MEDICAL GROUP
9909 Mira Mesa Blvd, Suite 200, San Diego, CA 92131-1061 8586577000 REGENTS OF THE UNIVERSITY OF CALIFORNIA - UCSD MEDICAL GROUP

Organization Information

Organization Legal Name REGENTS OF THE UNIVERSITY OF CALIFORNIA - UCSD MEDICAL GROUP
Physicians 1515

Physicians with the same organization

Name Specialty Organization Address
Tyler Scott Green Orthopedic Surgery Regents of The University of California - Ucsd Medical Group 9400 Campus Point Dr, La Jolla, CA 92093-1350
Molly Willis Nurse Practitioner Regents of The University of California - Ucsd Medical Group 140 Arbor Dr, San Diego, CA 92103-2007
Priti Ojha Psychiatry Regents of The University of California - Ucsd Medical Group 1350 S El Camino Real, Encinitas, CA 92024-4904
Kenneth N Halter Physician Assistant Regents of The University of California - Ucsd Medical Group 4168 Front St, San Diego, CA 92103-2030
Ana T Kukulj Nurse Practitioner Regents of The University of California - Ucsd Medical Group 9350 Campus Point Dr, La Jolla, CA 92037-1300
Andrew Sharabi Radiation Oncology Regents of The University of California - Ucsd Medical Group 3855 Health Sciences Dr, La Jolla, CA 92093-1503
Kyle P Edmonds Hospice/palliative Care Regents of The University of California - Ucsd Medical Group 9300 Campus Point Dr, La Jolla, CA 92037-1300
Christopher W Heichel Ophthalmology Regents of The University of California - Ucsd Medical Group 9415 Campus Point Dr, La Jolla, CA 92093-1350
Ramin Motarjemi Geriatric Medicine Regents of The University of California - Ucsd Medical Group 200 W Arbor Dr, San Diego, CA 92103-3109
Benjamin D Yu Dermatology Regents of The University of California - Ucsd Medical Group 8899 University Ln, Ucsd Univ Pac Cntr, San Diego, CA 92122-1010

Office Location

Street Address 330 LEWIS ST
City SAN DIEGO
State CA
Zip 92103-2108

Physicians in the same location

Name Specialty Organization Address
Deepa Sannidhi Family Medicine Regents of The University of California - Ucsd Medical Group 330 Lewis St, San Diego, CA 92103-2108
Eric A Yelsa Psychologist, Clinical Regents of The University of California - Ucsd Medical Group 330 Lewis St, San Diego, CA 92103-2108
Thomas A Myers Clinical Social Worker Regents of The University of California - Ucsd Medical Group 330 Lewis St, San Diego, CA 92103-2108
Geneen Gin Family Medicine Regents of The University of California - Ucsd Medical Group 330 Lewis St, San Diego, CA 92103-2108
Julie Celebi Family Medicine Regents of The University of California - Ucsd Medical Group 330 Lewis St, San Diego, CA 92103-2108
Jennifer J Wu Family Medicine Regents of The University of California - Ucsd Medical Group 330 Lewis St, San Diego, CA 92103-2108
Sarah E Merrill Family Medicine Regents of The University of California - Ucsd Medical Group 330 Lewis St, San Diego, CA 92103-2108
Suraj A Achar Family Medicine Regents of The University of California - Ucsd Medical Group 330 Lewis St, San Diego, CA 92103-2108
Kenneth S Taylor Family Medicine Regents of The University of California - Ucsd Medical Group 330 Lewis St, San Diego, CA 92103-2108
Deanna L Hill Internal Medicine Regents of The University of California - Ucsd Medical Group 330 Lewis St, San Diego, CA 92103-2108
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Physicians in the same zip code

Name Specialty Organization Address
Peter E Cadman Nephrology Regents of The University of California - Ucsd Medical Group 200 W Arbor Dr, San Diego, CA 92103-0001
Patrick Pablo Registered Dietitian Or Nutrition Professional Regents of The University of California - Ucsd Medical Group 200 W Arbor Dr, San Diego, CA 92103-0001
Kelli Gray-meisner Registered Dietitian Or Nutrition Professional Regents of The University of California - Ucsd Medical Group 200 W Arbor Dr, San Diego, CA 92103-0001
Lovella S Hailey Nurse Practitioner Regents of The University of California - Ucsd Medical Group 200 W Arbor Dr, San Diego, CA 92103-0001
Valerie L Waters Nurse Practitioner Regents of The University of California - Ucsd Medical Group 200 W Arbor Dr, San Diego, CA 92103-0001
Jennifer A Dorward Nurse Practitioner Regents of The University of California - Ucsd Medical Group 200 W Arbor Dr, San Diego, CA 92103-0001
Erika Albani Family Practice Regents of The University of California - Ucsd Medical Group 200 W Arbor Dr, San Diego, CA 92103-0001
Sharon Grodner Psychologist, Clinical 2278 Pine St, San Diego, CA 92103-1153
Gregory M Balourdas Hand Surgery 4101 Randolph St, San Diego, CA 92103-1342
Stephanie L Lessig Neurology Regents of The University of California - Ucsd Medical Group 4311 3rd Ave, San Diego, CA 92103-1407
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Competitor

Search similar physicians

City SAN DIEGO
Zip Code 92103
Specialty FAMILY MEDICINE
City + Specialty SAN DIEGO + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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