SOUTH BAY GERIATRIC AND INTERNAL MEDICINE INC
NPI 1801192497
Legal Medicine in Chula Vista, CA
About South Bay Geriatric And Internal Medicine Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH BAY GERIATRIC AND INTERNAL MEDICINE INC (NPI 1801192497) is a healthcare organization registered as a legal medicine in Chula Vista, California and active in the NPI registry since January 2011. The organization lists Mushrik Kaisey, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
South Bay Geriatric And Internal Medicine Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to South Bay Geriatric And Internal Medicine Inc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 South Bay Geriatric And Internal Medicine Inc's NPI number?
The NPI number for South Bay Geriatric And Internal Medicine Inc is 1801192497. It was assigned to this organization in the NPPES registry on January 31, 2011.
Where is South Bay Geriatric And Internal Medicine Inc located?
South Bay Geriatric And Internal Medicine Inc is located at 340 4th Ave #9, Chula Vista, CA 91910. The listed phone number is (619) 426-9731.
What is South Bay Geriatric And Internal Medicine Inc's specialty?
The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.
Is South Bay Geriatric And Internal Medicine Inc enrolled in Medicare?
Yes. South Bay Geriatric And Internal Medicine Inc is registered in the Medicare PECOS enrollment system.
When is South Bay Geriatric And Internal Medicine Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through South Bay Geriatric And Internal Medicine Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to South Bay Geriatric And Internal Medicine Inc. 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. The largest specialties are Nurse Practitioner (3), Hospitalist (1) and Internal Medicine (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for South Bay Geriatric And Internal Medicine Inc was last updated on August 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 Geriatric And Internal Medicine Inc · NPI 1801192497
Legal Medicine organization in Chula Vista, California. Organization record, active in the CMS NPPES registry since January 31, 2011.
## Identity
- **NPI:** 1801192497 (Entity type: Organization)
- **Enumerated:** January 31, 2011
- **Primary specialty:** Legal Medicine · taxonomy 173000000X
- **Organization subpart:** No
- **Authorized official:** Mushrik Kaisey, PRESIDENT
## Practice location
- **Address:** 340 4TH AVE, #9, Chula Vista, CA 91910-3813
- **Phone:** (619) 426-9731 · **Fax:** (619) 426-9733
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Hospitalist (1), Internal Medicine (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 2, 2011
- **Other identifiers:** Medicare PIN A72963 (CA); Medicare UPIN H09220 (CA); Medicaid 00A729631 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1801192497) · Data from the CMS NPPES public registry.