Organization provider

SAN DIEGO REGIONAL P.E.T. CENTER, LLC

Nuclear Medicine Physician Internal Medicine Physician

SAN DIEGO REGIONAL P.E.T. CENTER, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1104879121, based in San Diego, CA. The organization lists 2 taxonomy classifications, with Nuclear Medicine Physician recorded as primary.

Getting there

The practice address on file is 7625 MESA COLLEGE DR 102, San Diego, CA 92111. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

7625 MESA COLLEGE DR 102, San Diego, CA 92111 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Nuclear Medicine covers

A nuclear medicine specialist employs the properties of radioactive atoms and molecules in the diagnosis and treatment of disease and in research. Radiation detection and imaging instrument systems are used to detect disease as it changes the function and metabolism of normal cells, tissues and organs. A wide variety of diseases can be found in this way, usually before the structure of the organ involved by the disease can be seen to be abnormal by any other techniques. Early detection of coronary artery disease (including acute heart attack), early cancer detection and evaluation of the effect of tumor treatment, diagnosis of infection and inflammation anywhere in the body and early detection of blood clot in the lungs are all possible with these techniques. Unique forms of radioactive molecules can attack and kill cancer cells (e.g., lymphoma, thyroid cancer) or can relieve the severe pain of cancer that has spread to bone NUCC Health Care Provider Taxonomy, code 207U00000X
Allopathic & Osteopathic Physicians Nuclear Medicine

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207U00000X Nuclear Medicine Physician primary
207R00000X Internal Medicine Physician

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1104879121 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateMay 19, 2006
Last updatedSep 11, 2025
StatusActive
Practice address 7625 MESA COLLEGE DR
102
San Diego, CA 92111
(858) 499-0230
Fax (858) 499-0231
Mailing address PO BOX 910026
San Diego, CA 92191
Other identifiers ZZZ08027 · BLUE SHIELD
This record was updated on Sep 11, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1104879121 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 8 7 9 1 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 7 7 9 1 4

Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104879121?
NPI 1104879121 is the National Provider Identifier assigned to SAN DIEGO REGIONAL P.E.T. CENTER, LLC in San Diego, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Nuclear Medicine Physician cover?
A nuclear medicine specialist employs the properties of radioactive atoms and molecules in the diagnosis and treatment of disease and in research. Radiation detection and imaging instrument systems are used to detect disease as it changes the function and metabolism of normal cells, tissues and organs. A wide variety…
How do I contact SAN DIEGO REGIONAL P.E.T. CENTER, LLC?
The phone number on file with NPPES is (858) 499-0230, last updated Sep 11, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1104879121 a valid number?
Yes. 1104879121 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.