PRISMA CARE, A MEDICAL CORPORATION
NPI 1093809139
Internal Medicine in Chula Vista, CA
About Prisma Care, A Medical Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRISMA CARE, A MEDICAL CORPORATION (NPI 1093809139) is a healthcare organization registered as an internal medicine in Chula Vista, California and active in the NPI registry since October 2006. The organization lists Jose R Lopez, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
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)
Prisma Care, A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 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.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Prisma Care, A Medical Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Prisma Care, A Medical Corporation's NPI number?
The NPI number for Prisma Care, A Medical Corporation is 1093809139. It was assigned to this organization in the NPPES registry on October 3, 2006.
Where is Prisma Care, A Medical Corporation located?
Prisma Care, A Medical Corporation is located at 2648 Main St Suite #a, Chula Vista, CA 91911. The listed phone number is (619) 575-5000.
What is Prisma Care, A Medical Corporation's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Prisma Care, A Medical Corporation enrolled in Medicare?
Yes. Prisma Care, A Medical Corporation is registered in the Medicare PECOS enrollment system.
When is Prisma Care, A Medical Corporation'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 February 28, 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 Prisma Care, A Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Prisma Care, A Medical Corporation. 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 Prisma Care, A Medical Corporation was last updated on July 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Prisma Care, A Medical Corporation · NPI 1093809139
Internal Medicine organization in Chula Vista, California. Organization record, active in the CMS NPPES registry since October 3, 2006.
## Identity
- **NPI:** 1093809139 (Entity type: Organization)
- **Enumerated:** October 3, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Jose Lopez, PRESIDENT
## Practice location
- **Address:** 2648 MAIN ST, SUITE #A, Chula Vista, CA 91911-4664
- **Phone:** (619) 575-5000 · **Fax:** (619) 575-5060
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 15, 2009
- **Other identifiers:** Medicaid 00A433010 (CA); Medicare ID-Type Unspecified W15902
---
Source: [NPI Profile](https://npiprofile.com/npi/1093809139) · Data from the CMS NPPES public registry.