DR. JEAN A. RIZKALLAH MD
NPI 1003800368
Family Medicine in Chula Vista, CA

Q: What is Jean Rizkallah's NPI number?

The NPI number for Jean Rizkallah is 1003800368. It was assigned to this individual provider in the NPPES registry on September 1, 2005.

Q: What is Jean Rizkallah's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jean Rizkallah was last updated on March 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 01, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 05D1075344 · Microscopy

450 FOURTH AVENUE, STE. 408, CHULA VISTA, CA 91910(619) 691-1990(619) 691-5977 Get Directions Write a Review

NPPES record last updated: March 30, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jean A. Rizkallah Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEAN A. RIZKALLAH MD (NPI 1003800368) is an individual family medicine provider in Chula Vista, California, licensed in California (A93296) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through October 17, 2027, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1003800368

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JEAN A. RIZKALLAHCredential: MD

Location Address450 FOURTH AVENUE, STE. 408Chula Vista, CA 91910-4430

Mailing Address450 Fourth Avenue, Ste. 408Chula Vista, CA 91910-4430 · (619) 691-1990 · Fax (619) 691-5977

Phone(619) 691-1990

Fax(619) 691-5977

Sole ProprietorYes

Medical School CMSOtherGraduated 1998

Enumeration DateSeptember 1, 2005

Last NPPES UpdateMarch 30, 2012

✔ NPI 1003800368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A93296

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

450 FOURTH AVENUE, Chula Vista, CA 91910

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Other Identifiers 4

Medicare ID-Type Unspecified113150SSSSIN · Rizkallah

Medicaid200430140IN

Medicare UPINH88241IN

Medicare PINA93296CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jean A. Rizkallah Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183705072

PECOS Enrollment IDI20080116000819

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D1075344

Jean Rizkallah, MD Inc · Chula Vista, CA

Active · expires Oct 17, 2027

CLIA Number05D1075344

Laboratory TypePhysician Office

Certificate Effective DateOctober 18, 2025

Certificate Expiration DateOctober 17, 2027

Laboratory DirectorJean A. Rizkallah MD

Laboratory Phone(619) 691-1990

Laboratory LocationJean Rizkallah, MD Inc450 Fourth Ave Ste 408, Chula Vista, CA 91910

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91910 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANTJE PETERSEN MFT

Psychiatry & Neurology (Psychiatry)

450 FOURTH AVENUE, STE 215
CHULA VISTA, CA 91910

San Diego County (619) 498-5454

DR. ZIAD A TAMIMI MD

Family Medicine

450 FOURTH AVENUE, SUITE 408
CHULA VISTA, CA 91910

San Diego County (619) 691-1990

CATALINA G. ESCOBAR MD INC

Family Medicine

450 FOURTH AVENUE, SUITE 408
CHULA VISTA, CA 91910

San Diego County (619) 691-1991

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jean Rizkallah's NPI number?

The NPI number for Jean Rizkallah is 1003800368. It was assigned to this individual provider in the NPPES registry on September 1, 2005.

Where is Jean Rizkallah located?

Jean Rizkallah practices at 450 Fourth Avenue Ste. 408, Chula Vista, CA 91910. The listed phone number is (619) 691-1990.

What is Jean Rizkallah's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jean Rizkallah enrolled in Medicare?

Yes. Jean Rizkallah is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Jean Rizkallah hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D1075344) is associated with this NPI, valid through October 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jean Rizkallah was last updated on March 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.