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MR. RAUL ELGUEZABAL P.A.
NPI 1407918733
Physician Assistant - Medical in Chula Vista, CA

Active since December 14, 2006PECOS EnrolledAccepts Medicare Assignment
480 FOURTH AVE STE 506, CHULA VISTA, CA 91910(619) 662-4100(619) 662-4130 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 1, 2026, Nov 30, 2021 (2 updates tracked since 2021).

About Mr. Raul Elguezabal P.a. NPPES

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

MR. RAUL ELGUEZABAL P.A. (NPI 1407918733) is an individual medical provider in Chula Vista, California, licensed in California (15431) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1407918733
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. RAUL ELGUEZABALCredential: P.A.
Location Address480 FOURTH AVE STE 506Chula Vista, CA 91910-4414
Mailing Address480 Fourth Ave Ste 506Chula Vista, CA 91910-4414 · (619) 662-4100 · Fax (619) 662-4130
Phone(619) 662-4100
Fax(619) 662-4130
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateDecember 14, 2006
Last NPPES UpdateJune 1, 20262 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1407918733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · 15431
480 FOURTH AVE STE 506, Chula Vista, CA 91910
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Raul Elguezabal P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062504400
PECOS Enrollment IDI20070815000553
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.

Other Providers at the Same Location NPPES

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

CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
480 FOURTH AVE STE 506
CHULA VISTA, CA 91910
San Diego County (619) 662-4100

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 Raul Elguezabal's NPI number?

The NPI number for Raul Elguezabal is 1407918733. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Raul Elguezabal located?

Raul Elguezabal practices at 480 Fourth Ave Ste 506, Chula Vista, CA 91910. The listed phone number is (619) 662-4100.

What is Raul Elguezabal's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Raul Elguezabal enrolled in Medicare?

Yes. Raul Elguezabal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Raul Elguezabal was last updated on June 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.