SOUTH BAY FAMILY MEDICAL GROUP, INC
NPI 1508920984
Family Medicine in Chula Vista, CA
About South Bay Family Medical Group, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH BAY FAMILY MEDICAL GROUP, INC (NPI 1508920984) is a healthcare organization registered as a family medicine in Chula Vista, California and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through May 9, 2028 and lists Efrain T Valladolid, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
South Bay Family Medical Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to South Bay Family Medical Group, Inc, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 05D0999369
South Bay Family Medical Group Inc · Chula Vista, CAFrequently 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 Family Medical Group, Inc's NPI number?
The NPI number for South Bay Family Medical Group, Inc is 1508920984. It was assigned to this organization in the NPPES registry on December 20, 2006.
Where is South Bay Family Medical Group, Inc located?
South Bay Family Medical Group, Inc is located at 584 E St, Chula Vista, CA 91910. The listed phone number is (619) 420-1378.
What is South Bay Family Medical Group, Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is South Bay Family Medical Group, Inc enrolled in Medicare?
Yes. South Bay Family Medical Group, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Bay Family Medical Group, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to South Bay Family Medical Group, Inc, in Family Practice and Nurse Practitioner. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does South Bay Family Medical Group, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D0999369) is associated with this NPI, valid through May 9, 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 South Bay Family Medical Group, Inc was last updated on March 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# South Bay Family Medical Group, Inc · NPI 1508920984
Family Medicine organization in Chula Vista, California. Organization record, active in the CMS NPPES registry since December 20, 2006.
## Identity
- **NPI:** 1508920984 (Entity type: Organization)
- **Enumerated:** December 20, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Efrain Valladolid, PRESIDENT
## Practice location
- **Address:** 584 E ST, Chula Vista, CA 91910-2348
- **Phone:** (619) 420-1378 · **Fax:** (619) 420-1331
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 2, 2011
- **Other identifiers:** Medicare ID-Type Unspecified WA61474B (CA); Medicaid 00A614740 (CA); Medicare UPIN G50184 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1508920984) · Data from the CMS NPPES public registry.