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RENATO DE LA ROSA MD INC
NPI 1073867297
Internal Medicine in Chula Vista, CA

Active since November 09, 2012
754 MEDICAL CENTER CT STE 103, CHULA VISTA, CA 91911(619) 397-5001(619) 397-4460 Get Directions Write a Review

NPPES record last updated: October 20, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Renato De La Rosa Md Inc NPPES

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

RENATO DE LA ROSA MD INC (NPI 1073867297) is a healthcare organization registered as an internal medicine in Chula Vista, California and active in the NPI registry since November 2012. The organization lists Renato De La Rosa, Md, as its authorized official.

NPPES Registry Identity

NPI1073867297
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameRENATO DE LA ROSA MD INC
Location Address754 MEDICAL CENTER CT STE 103Chula Vista, CA 91911-6655
Mailing Address754 Medical Center Ct Ste 103Chula Vista, CA 91911-6655 · (619) 397-5001 · Fax (619) 397-4460
Phone(619) 397-5001
Fax(619) 397-4460
Organization SubpartNo
Authorized OfficialRenato De La RosaMd · (619) 397-5001
Enumeration DateNovember 9, 2012
Last NPPES UpdateOctober 20, 2021
NPPES CertifiedOctober 20, 2021
✔ NPI 1073867297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A65330
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
754 MEDICAL CENTER CT STE 103, Chula Vista, CA 91911
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Other Identifiers 1

Medicaid00A653300CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Renato De La Rosa Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20121211000107Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Renato De La Rosa MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Renato De La Rosa, MD
Internal Medicine
NPI 1114966777
754 MEDICAL CENTER CT STE 103
Chula Vista, CA 91911
(619) 397-5001
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Renato De La Rosa MD Inc's NPI number?

The NPI number for Renato De La Rosa MD Inc is 1073867297. It was assigned to this organization in the NPPES registry on November 9, 2012.

Where is Renato De La Rosa MD Inc located?

Renato De La Rosa MD Inc is located at 754 Medical Center Ct Ste 103, Chula Vista, CA 91911. The listed phone number is (619) 397-5001.

What is Renato De La Rosa MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Renato De La Rosa MD Inc enrolled in Medicare?

Yes. Renato De La Rosa MD Inc is registered in the Medicare PECOS enrollment system.

When is Renato De La Rosa MD Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Renato De La Rosa MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Renato De La Rosa MD Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Renato De La Rosa MD Inc was last updated on October 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.