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DR. JUSTIN S CRISTOBAL CHOUDHARI MD
NPI 1669976643
Internal Medicine in Chula Vista, CA

Active since March 22, 2018PECOS Enrolled
2295 OTAY LAKES RD STE 110, CHULA VISTA, CA 91915(619) 502-7854 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 4, 2021, Jun 21, 2021, Mar 22, 2018 (3 updates tracked since 2018).

About Dr. Justin S Cristobal Choudhari Md NPPES

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

DR. JUSTIN S CRISTOBAL CHOUDHARI MD (NPI 1669976643) is an individual internal medicine provider in Chula Vista, California, licensed in California (A173304) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669976643
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JUSTIN S CRISTOBAL CHOUDHARICredential: MD
Location Address2295 OTAY LAKES RD STE 110Chula Vista, CA 91915-1160
Mailing AddressPo Box 232410San Diego, CA 92193-2410
Phone(619) 502-7854
Sole ProprietorNo
Enumeration DateMarch 22, 2018
Last NPPES UpdateOctober 4, 20213 updates tracked since enumeration
NPPES CertifiedOctober 4, 2021
✔ NPI 1669976643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A173304
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2295 OTAY LAKES RD STE 110, Chula Vista, CA 91915
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Justin S Cristobal Choudhari 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 Reassignments

3

Medicare enrollment records show Justin Choudhari reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

County Of San Diego
8.1 mi
Community/Behavioral Health
5101 MARKET STREET, SUITE 2300
San Diego, CA 92114
  • Reassigned Medicare billing, California enrollment
  • 105 clinicians in this Medicare group
NPI 1386704351 (858) 351-6000
Regents Of The University Of California
14 mi
Nephrology
200 W ARBOR DR
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 526 clinicians in this Medicare group
NPI 1003934803 (888) 926-8273
Uc San Diego Health Community Group
27 mi
Community Health
16950 VIA TAZON
San Diego, CA 92127
  • Reassigned Medicare billing, California enrollment
  • 271 clinicians in this Medicare group
NPI 1659864247 (858) 249-5908

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 91915 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 4

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

VINCENT LAM PA-C
Physician Assistant
2295 OTAY LAKES RD STE 110
CHULA VISTA, CA 91915
San Diego County (800) 926-8273
STEPHANIE LYNN KLEINER NP
Nurse Practitioner (Family)
2295 OTAY LAKES RD STE 110
CHULA VISTA, CA 91915
San Diego County (800) 926-8273
DR. VICENTE DIAZ-GONZALEZ MD
Internal Medicine
2295 OTAY LAKES RD STE 110
CHULA VISTA, CA 91915
San Diego County (800) 926-8273
AMIE NICOLE CRUMP PA-C
Physician Assistant (Medical)
2295 OTAY LAKES RD STE 110
CHULA VISTA, CA 91915
San Diego County (800) 926-8273

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 Justin Choudhari's NPI number?

The NPI number for Justin Choudhari is 1669976643. It was assigned to this individual provider in the NPPES registry on March 22, 2018.

Where is Justin Choudhari located?

Justin Choudhari practices at 2295 Otay Lakes Rd Ste 110, Chula Vista, CA 91915. The listed phone number is (619) 502-7854.

What is Justin Choudhari's specialty?

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

Is Justin Choudhari enrolled in Medicare?

Yes. Justin Choudhari is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Justin Choudhari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Choudhari reassigns Medicare benefits to 3 organizations: County Of San Diego (San Diego, CA), Regents Of The University Of California (San Diego, CA) and Uc San Diego Health Community Group (San Diego, CA). 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 Justin Choudhari'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 Justin Choudhari was last updated on October 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.