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DR. FELIPE HUMBERTO GRIMALDO JR. M.D.
NPI 1609167139
Emergency Medicine in San Diego, CA

Active since May 02, 2011PECOS EnrolledAccepts Medicare Assignment
88.06/100
CMS Quality Rating
34800 BOB WILSON DR, SAN DIEGO, CA 92134(708) 790-4153 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 22, 2024, Oct 21, 2021, Feb 19, 2016 (3 updates tracked since 2016).

About Dr. Felipe Humberto Grimaldo Jr. M.d. NPPES

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

DR. FELIPE HUMBERTO GRIMALDO JR. M.D. (NPI 1609167139) is an individual emergency medicine provider in San Diego, California, licensed in California (A138202) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Camp Pendleton, and is a graduate of University Of Chicago, Pritzker School Of Medicine (2011).

NPPES Registry Identity

NPI1609167139
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. FELIPE HUMBERTO GRIMALDO JR.Credential: M.D.
Location Address34800 BOB WILSON DRSan Diego, CA 92134-1098
Mailing Address34800 Bob Wilson DrSan Diego, CA 92134-1098
Phone(708) 790-4153
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2011
Enumeration DateMay 2, 2011
Last NPPES UpdateNovember 22, 20243 updates tracked since enumeration
NPPES CertifiedNovember 22, 2024
✔ NPI 1609167139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in CA · A138202✔ Licensed in IL · 036134293✔ Licensed in GU · M-2264
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
34800 BOB WILSON DR, San Diego, CA 92134
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Secondary Practice Location 1

Location 1200 Mercy CircleCamp Pendleton, CA 92055-5191 · Phone (760) 725-1288

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Felipe Humberto Grimaldo Jr. M.d. 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 ID8820393341
PECOS Enrollment IDI20160222001592
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 Reassignments

4

Medicare enrollment records show Felipe Grimaldo reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cep America - California
10 mi
Emergency Medicine
751 MEDICAL CENTER COURT
Chula Vista, CA 91911
  • Reassigned Medicare billing, California enrollment
  • 1,204 clinicians in this Medicare group
NPI 1457304529 (619) 482-5800
Emergency Medicine Group Of Encinitas, Inc
23 mi
Emergency Medicine
354 SANTA FE DR
Encinitas, CA 92024
  • Reassigned Medicare billing, California enrollment
  • 47 clinicians in this Medicare group
NPI 1902805179 (760) 753-1362
Encinitas Emergency Medicine, Inc.
23 mi
Emergency Medicine
354 SANTA FE DR
Encinitas, CA 92024
  • Reassigned Medicare billing, California enrollment
  • 61 clinicians in this Medicare group
NPI 1598362568 (760) 257-5750
Guam Healthcare Development Incorporated
Clinic/Center
133 ROUTE 3
Dededo, GU 96929
  • Reassigned Medicare billing, Guam enrollment
  • 432 clinicians in this Medicare group
NPI 1326447939 (671) 645-5500

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
86 services74 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
69 services69 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
24 services24 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
17 services17 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92134 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.23
Improvement Activities40
Cost74.73

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.

LORENA MARIE FUJII N.P.
Nurse Practitioner (Pediatrics)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-8910
JANELLE MARIE MARRA DO
Family Medicine
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
LAKIESHA NICOLE MURPHY
Nurse's Aide
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 713-3385
SUSANNA BYRNE D.O.
Anesthesiology
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
DR. PAUL CHARLES CAMPBELL D.O.
Urology (Pediatric Urology)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-7200
PHILLIP EDWARD FRY JR. DO
Emergency Medicine
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
BRADLY JAMES STILLEY IDC
Military Health Care Provider (Independent Duty Corpsman)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (360) 941-9989
DR. ELIZABETH WHIPPLE PHD
Military Health Care Provider
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400

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 Felipe Grimaldo's NPI number?

The NPI number for Felipe Grimaldo is 1609167139. It was assigned to this individual provider in the NPPES registry on May 2, 2011.

Where is Felipe Grimaldo located?

Felipe Grimaldo practices at 34800 Bob Wilson Dr, San Diego, CA 92134. The listed phone number is (708) 790-4153.

What is Felipe Grimaldo's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Felipe Grimaldo enrolled in Medicare?

Yes. Felipe Grimaldo 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.

Which organizations bill Medicare for Felipe Grimaldo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Felipe Grimaldo reassigns Medicare benefits to 4 organizations: Cep America - California (Chula Vista, CA), Emergency Medicine Group Of Encinitas, Inc (Encinitas, CA), Encinitas Emergency Medicine, Inc. (Encinitas, CA) and Guam Healthcare Development Incorporated (Dededo, GU). Each 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 Felipe Grimaldo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Felipe Grimaldo was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.