SHOTA GURTCH, M.D., INC. A PROFESSIONAL CORPORATION
NPI 1154050904
Clinic/Center - Primary Care in La Mesa, CA

Q: What is Shota Gurtch, M.D., Inc. A Professional Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since June 07, 2022

8875 LA MESA BLVD STE C, LA MESA, CA 91942(619) 668-8100(619) 667-2688 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 31, 2023, Jun 7, 2022 (2 updates tracked since 2022).

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About Shota Gurtch, M.d., Inc. A Professional Corporation NPPES

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

SHOTA GURTCH, M.D., INC. A PROFESSIONAL CORPORATION (NPI 1154050904) is a healthcare organization registered as a primary care in La Mesa, California and active in the NPI registry since June 2022. The organization lists Shota Gurchumelidze, Physician, as its authorized official.

NPPES Registry Identity

NPI1154050904

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameSHOTA GURTCH, M.D., INC. A PROFESSIONAL CORPORATION

Location Address8875 LA MESA BLVD STE CLa Mesa, CA 91942-5434

Mailing Address8875 La Mesa Blvd Ste CLa Mesa, CA 91942-5434 · (619) 668-8100 · Fax (619) 667-2688

Phone(619) 668-8100

Fax(619) 667-2688

Organization SubpartNo

Authorized OfficialShota GurchumelidzePhysician · (858) 997-3161

Enumeration DateJune 7, 2022

Last NPPES UpdateAugust 31, 20232 updates tracked since enumeration

NPPES CertifiedAugust 31, 2023

✔ NPI 1154050904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

8875 LA MESA BLVD STE C, La Mesa, CA 91942

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Other Providers at the Same Location NPPES 2

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

SHOTA GURTCH, M.D., INC., A PROFESSIONAL CORPORATION

Internal Medicine

8875 LA MESA BLVD STE C
LA MESA, CA 91942

San Diego County (619) 668-8100

DR. SHOTA GURCHUMELIDZE M.D.

Internal Medicine

8875 LA MESA BLVD STE C
LA MESA, CA 91942

San Diego County (619) 668-8100

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 Shota Gurtch, M.D., Inc. A Professional Corporation's NPI number?

The NPI number for Shota Gurtch, M.D., Inc. A Professional Corporation is 1154050904. It was assigned to this organization in the NPPES registry on June 7, 2022.

Where is Shota Gurtch, M.D., Inc. A Professional Corporation located?

Shota Gurtch, M.D., Inc. A Professional Corporation is located at 8875 La Mesa Blvd Ste C, La Mesa, CA 91942. The listed phone number is (619) 668-8100.

What is Shota Gurtch, M.D., Inc. A Professional Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Shota Gurtch, M.D., Inc. A Professional Corporation was last updated on August 31, 2023. 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.