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JUSTIN JAMES JUDILLA PA-C
NPI 1043074438
Physician Assistant in San Diego, CA

Active since February 07, 2024PECOS EnrolledAccepts Medicare Assignment
5651 COPLEY DR, SAN DIEGO, CA 92111(858) 541-5400 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 7, 2024, Feb 7, 2024 (2 updates tracked since 2024).

About Justin James Judilla Pa-c NPPES

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

JUSTIN JAMES JUDILLA PA-C (NPI 1043074438) is an individual physician assistant in San Diego, California, licensed in California (64059) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1043074438
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJUSTIN JAMES JUDILLACredential: PA-C
Location Address5651 COPLEY DRSan Diego, CA 92111-7903
Mailing Address5651 Copley DrSan Diego, CA 92111-7903 · (858) 541-5400
Phone(858) 541-5400
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 7, 2024
Last NPPES UpdateJune 7, 20242 updates tracked since enumeration
NPPES CertifiedJune 7, 2024
✔ NPI 1043074438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 64059
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5651 COPLEY DR, San Diego, CA 92111
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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

Justin James Judilla Pa-c 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 ID9133561632
PECOS Enrollment IDI20240529004098
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92111 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
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
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 13

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

SHARP HEALTHCARE
Clinical Medical Laboratory
5651 COPLEY DR
SAN DIEGO, CA 92111
San Diego County (858) 499-3025
HALEY GUIFFRIDA MPH,CHES,CWHC,CPT
Health Educator
5651 COPLEY DR
SAN DIEGO, CA 92111
San Diego County (858) 262-6116
MRS. KATHLEEN APRIL HANKLA
Health Educator
5651 COPLEY DR
SAN DIEGO, CA 92111
San Diego County (858) 499-2600
GABRIELLE DOMENICA FAZIO FNP-BC
Nurse Practitioner (Family)
5651 COPLEY DR
SAN DIEGO, CA 92111
San Diego County (858) 262-6070
STEVEN A. GREEN M.D.
Family Medicine
5651 COPLEY DR
SAN DIEGO, CA 92111
San Diego County (858) 262-6666
HUMAIRA ASMATEY SALGADO
Health Educator
5651 COPLEY DR
SAN DIEGO, CA 92111
San Diego County (858) 499-2700
MR. EDWIN MARIO BONFIL
Health Educator
5651 COPLEY DR
SAN DIEGO, CA 92111
San Diego County (858) 499-2600
CHERI HOOLIHAN
Health Educator
5651 COPLEY DR
SAN DIEGO, CA 92111
San Diego County (858) 499-2600

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 Justin Judilla's NPI number?

The NPI number for Justin Judilla is 1043074438. It was assigned to this individual provider in the NPPES registry on February 7, 2024.

Where is Justin Judilla located?

Justin Judilla practices at 5651 Copley Dr, San Diego, CA 92111. The listed phone number is (858) 541-5400.

What is Justin Judilla's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Justin Judilla enrolled in Medicare?

Yes. Justin Judilla 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.

When was this NPI record last updated?

The NPPES record for Justin Judilla was last updated on June 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.