SOUTH BAY PRIMARY MEDICAL GROUP
NPI 1942659149
Clinic/Center - Primary Care in Chula Vista, CA
About South Bay Primary Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH BAY PRIMARY MEDICAL GROUP (NPI 1942659149) is a healthcare organization registered as a primary care in Chula Vista, California and active in the NPI registry since June 2016. The organization lists Tracy Lee Polanco, Owner/president, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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 Primary Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to South Bay Primary Medical Group, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Ciecal Rc Inc's NPI number?
The NPI number for Ciecal Rc Inc is 1942659149. It was assigned to this organization in the NPPES registry on June 8, 2016. The provider is doing business as South Bay Primary Medical Group.
Where is Ciecal Rc Inc located?
Ciecal Rc Inc is located at 769 Medical Center Ct Suite 303, Chula Vista, CA 91911. The listed phone number is (619) 591-9001.
What is Ciecal Rc Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Ciecal Rc Inc enrolled in Medicare?
Yes. Ciecal Rc Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ciecal Rc Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Ciecal Rc 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. 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 Ciecal Rc Inc was last updated on November 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 Primary Medical Group · NPI 1942659149
Primary Care organization in Chula Vista, California. Organization record, active in the CMS NPPES registry since June 8, 2016.
## Identity
- **NPI:** 1942659149 (Entity type: Organization)
- **Enumerated:** June 8, 2016
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Ciecal Rc Inc
- **Organization subpart:** No
- **Authorized official:** Tracy Polanco, OWNER/PRESIDENT
## Practice location
- **Address:** 769 MEDICAL CENTER CT, SUITE 303, Chula Vista, CA 91911-6602
- **Phone:** (619) 591-9001 · **Fax:** (619) 591-9211
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 16, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1942659149) · Data from the CMS NPPES public registry.