# SAN CARLOS MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528120250
- **Authorized official:** DR. WAYNE STEWART TRUE M.D. (C.E.O.)
- **Authorized official phone:** (619) 460-3311

## Contact information

- **Practice address:** 8881 FLETCHER PKWY, SUITE 105, LA MESA, CA 91942-3134
- **Practice address phone:** (619) 460-3311
- **Mailing address:** 8881 FLETCHER PKWY, SUITE 105, LA MESA, CA 91942-3134
- **Mailing address phone:** (619) 460-3311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | G36980 | CA | — |
| 207Q00000X | Family Medicine Physician | G62330 | CA | — |
| 207Q00000X | Family Medicine Physician | G71174 | CA | Yes |
| 207Q00000X | Family Medicine Physician | G73372 | CA | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | A73439 | CA | — |

## Other

- **Enumeration date:** 12/16/2006
- **Last updated:** 09/11/2025