SHORELINE MEDICAL GROUP PROFESSIONAL CORPORATION
NPI 1225860232
Family Medicine in Chula Vista, CA

Q: What is Shoreline Medical Group Professional Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since August 19, 2024CLIA 05D2349621 · Waiver

527 H ST, CHULA VISTA, CA 91910(619) 709-7367(619) 775-3170 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 14, 2026, Feb 28, 2025, Aug 22, 2024 (3 updates tracked since 2024).

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About Shoreline Medical Group Professional Corporation NPPES

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

SHORELINE MEDICAL GROUP PROFESSIONAL CORPORATION (NPI 1225860232) is a healthcare organization registered as a family medicine in Chula Vista, California and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through August 24, 2028 and lists Julie Roth, Physician, as its authorized official.

NPPES Registry Identity

NPI1225860232

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSHORELINE MEDICAL GROUP PROFESSIONAL CORPORATION

Location Address527 H STChula Vista, CA 91910-4301

Mailing Address527 H StChula Vista, CA 91910-4301 · (619) 709-7367 · Fax (619) 775-3170

Phone(619) 709-7367

Fax(619) 775-3170

Organization SubpartNo

Authorized OfficialJulie RothPhysician · (619) 804-2368

Enumeration DateAugust 19, 2024

Last NPPES UpdateJanuary 14, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 14, 2026

✔ NPI 1225860232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

527 H ST, Chula Vista, CA 91910

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shoreline Medical Group Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shoreline Medical Group Professional Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Julie Roth, DO

Family Practice

NPI 1720091572

527 H ST
Chula Vista, CA 91910

(619) 709-7367

✔ PECOS✔ Accepts MedicareSame address

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 05D2349621

Shoreline Medical Group, PC · Chula Vista, CA

Active · expires Aug 24, 2028

CLIA Number05D2349621

Laboratory TypePhysician Office

Certificate Effective DateAugust 25, 2026

Certificate Expiration DateAugust 24, 2028

Laboratory DirectorJulie A. Roth

Laboratory Phone(619) 709-7367

Laboratory LocationShoreline Medical Group, PC527 H St, 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 Shoreline Medical Group Professional Corporation's NPI number?

The NPI number for Shoreline Medical Group Professional Corporation is 1225860232. It was assigned to this organization in the NPPES registry on August 19, 2024.

Where is Shoreline Medical Group Professional Corporation located?

Shoreline Medical Group Professional Corporation is located at 527 H St, Chula Vista, CA 91910. The listed phone number is (619) 709-7367.

What is Shoreline Medical Group Professional Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shoreline Medical Group Professional Corporation enrolled in Medicare?

Yes. Shoreline Medical Group Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shoreline Medical Group Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Shoreline Medical Group Professional 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.

Does Shoreline Medical Group Professional Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2349621) is associated with this NPI, valid through August 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shoreline Medical Group Professional Corporation was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.