SOUTH BAY INTERNAL MEDICINE AND FAMILY PRACTICE GROUP INC
NPI 1174706345
Internal Medicine in Chula Vista, CA

Active since December 11, 2007CLIA 05D2060632 · Waiver
374 H ST, SUITE 202, CHULA VISTA, CA 91910(619) 426-4546(619) 426-7198 Get Directions Write a Review

NPPES record last updated: April 21, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About South Bay Internal Medicine And Family Practice Group Inc NPPES

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

SOUTH BAY INTERNAL MEDICINE AND FAMILY PRACTICE GROUP INC (NPI 1174706345) is a healthcare organization registered as an internal medicine in Chula Vista, California and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through June 13, 2027 and lists Noli A. Cava, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1174706345
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTH BAY INTERNAL MEDICINE AND FAMILY PRACTICE GROUP INC
Location Address374 H ST, SUITE 202Chula Vista, CA 91910-5547
Mailing Address374 H St, Suite 202Chula Vista, CA 91910-5547 · (619) 426-4546 · Fax (619) 426-7198
Fax(619) 426-7198
Organization SubpartNo
Authorized OfficialNoli A. CavaMedical Director · (619) 426-4546
Enumeration DateDecember 11, 2007
Last NPPES UpdateApril 21, 2008
✔ NPI 1174706345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · G98162
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License G98162 (CA)
374 H ST, Chula Vista, CA 91910

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

South Bay Internal Medicine And Family Practice Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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 IDO20081022000470Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
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 South Bay Internal Medicine And Family Practice Group Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1265453435
1808 CABLE ST.
San Diego, CA 92107
(619) 221-4490
✔ PECOS✔ Accepts Medicare14 mi

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

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 of Waiver 05D2060632

South Bay Internal Medicine And Family Practice · Chula Vista, CA
Active · expires Jun 13, 2027
CLIA Number05D2060632
Laboratory TypePhysician Office
Certificate Effective DateJune 14, 2025
Certificate Expiration DateJune 13, 2027
Laboratory DirectorNoli A. Cava
Laboratory Phone(619) 426-4546
Laboratory LocationSouth Bay Internal Medicine And Family Practice374 H Street, Ste 202, Chula Vista, CA 91910
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 South Bay Internal Medicine And Family Practice Group Inc's NPI number?

The NPI number for South Bay Internal Medicine And Family Practice Group Inc is 1174706345. It was assigned to this organization in the NPPES registry on December 11, 2007.

Where is South Bay Internal Medicine And Family Practice Group Inc located?

South Bay Internal Medicine And Family Practice Group Inc is located at 374 H St Suite 202, Chula Vista, CA 91910. The listed phone number is (619) 426-4546.

What is South Bay Internal Medicine And Family Practice Group Inc's specialty?

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

Is South Bay Internal Medicine And Family Practice Group Inc enrolled in Medicare?

Yes. South Bay Internal Medicine And Family Practice Group Inc is registered in the Medicare PECOS enrollment system.

When is South Bay Internal Medicine And Family Practice Group 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 November 30, 2026. 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 South Bay Internal Medicine And Family Practice Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to South Bay Internal Medicine And Family Practice Group 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.

Does South Bay Internal Medicine And Family Practice Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2060632) is associated with this NPI, valid through June 13, 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 South Bay Internal Medicine And Family Practice Group Inc was last updated on April 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.