CHARMAINE DORA GUTJAHR MD
NPI 1396949665
Internal Medicine in San Diego, CA

Q: What is Charmaine Gutjahr's NPI number?

The NPI number for Charmaine Gutjahr is 1396949665. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Q: What is Charmaine Gutjahr's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Charmaine Gutjahr was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 12, 2007PECOS Enrolled

6195 LUSK BLVD STE 250, SAN DIEGO, CA 92121(858) 859-1188(844) 404-8924 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 2, 2022, May 26, 2020 (2 updates tracked since 2020).

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About Charmaine Dora Gutjahr Md NPPES

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

CHARMAINE DORA GUTJAHR MD (NPI 1396949665) is an individual internal medicine provider in San Diego, California, licensed in California (C165267) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396949665

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameCHARMAINE DORA GUTJAHRCredential: MD

Location Address6195 LUSK BLVD STE 250San Diego, CA 92121-3715

Mailing Address6195 Lusk Blvd Ste 250San Diego, CA 92121-3715 · (858) 859-1188 · Fax (844) 404-8924

Phone(858) 859-1188

Fax(844) 404-8924

Sole ProprietorNo

Enumeration DateJune 12, 2007

Last NPPES UpdateNovember 2, 20222 updates tracked since enumeration

NPPES CertifiedNovember 2, 2022

✔ NPI 1396949665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in CA · C165267✔ Licensed in OH · 35080208

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.

6195 LUSK BLVD STE 250, San Diego, CA 92121

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Secondary Practice Locations 2

Location 12500 Metrohealth DrCleveland, OH 44109-1900 · Phone (216) 778-7800

Location 24545 La Jolla Village Dr Ste C5San Diego, CA 92122-1241 · Phone (619) 232-3500

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charmaine Dora Gutjahr Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Charmaine Gutjahr reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Cleveland Clinic Foundation

2,013 mi

Family Medicine

36040 DETROIT RD, STE A
Avon, OH 44011

Reassigned Medicare billing, Ohio enrollment
7,608 clinicians in this Medicare group

NPI 1184428336 (886) 636-3318

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92121 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

ALEX BOLTON APRN

Nurse Practitioner (Family)