Charleston Chua MD Inc

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

CHARLESTON CHUA MD INC

Practice address

8200 La Mesa Blvd
La Mesa, CA 91942-9216

Phone

(858) 699-0707

Fax

(619) 330-8826

NPI assigned

May 3, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charleston Mirador Chua, MDNPI 1881937449

Title

Owner

Phone

(858) 699-0707

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charleston Chua, M.D.

  • Plastic and Reconstructive Surgery Physician
  • La Mesa, CA
  • NPI 1881937449
  Medicare reassignment Authorized official
• Cheryl Chuong

  • Nurse Practitioner
  • San Diego, CA
  • NPI 1588472591

  Single Specialty

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1033966346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 LA MESA BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919429216",
            "telephone_number": "858-699-0707",
            "fax_number": "619-330-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 LA MESA BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919429216",
            "telephone_number": "858-699-0707",
            "fax_number": "619-330-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON CHUA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "CHUA",
        "authorized_official_first_name": "CHARLESTON",
        "authorized_official_middle_name": "MIRADOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-699-0707",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Weiling Chang, M.D.
• Yi Chang, RPH
• Charles a. Long, a Professional Marriage and Family Therapy Corporatio
• Charles Lewis MD Professional Corporation
• Maude Charles
• David Chau
• Tina S Chen, M.D.
• Patricia Ann Cheney, NURSE PRACTITIONER
• Catherine Cheng, D.O.
• Yu Dennis Cheng, M.D.

• Plastic and Reconstructive Surgery Physician in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Plastic and Reconstructive Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.