Individual provider Active NPI

Carlos E Jimenez-Grillo, M.D.

  • Internal Medicine Physician
  • Chula Vista, CA
National Provider Identifier
1144267188
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C53456 Issued in CA
Practice address
1400 E Palomar St
Chula Vista, CA 91913-1800
Phone
(858) 499-2600
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C53456 CA Primary

Addresses

Primary practice location

1400 E Palomar St
Chula Vista, CA 91913-1800

Mailing address

1400 E Palomar St
Chula Vista, CA 91913-1800
Phone (858) 499-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130508000108 CA Practitioner - Internal Medicine 8729983739 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sharp Rees-Stealy Medical Group IncGroup PAC ID 8628972759, 872 clinicians
Palomar Hospitalist Medical Group IncGroup PAC ID 3678978269, 53 clinicians

Practice addresses (Care Compare)

1400 E Palomar St
Chula Vista, CA 91913-1800
Phone (858) 499-2600

15615 Pomerado Rd
Poway, CA 92064-2405
Phone (310) 379-2134

2185 Citracado Pkwy
Escondido, CA 92029-4159
Phone (310) 379-2134

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.32 of 100Reported as group
Improvement activities
40
Cost
76.64

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as group
Quality
81.04
Promoting interoperability
99
Improvement activities
40
Cost
82.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
226553MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians PC CurrentSince Apr 1, 2013 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc Internal Medicine CurrentSince Jan 6, 2020 Accepting new patients
Galen Inpatient Physicians, PC CurrentSince Apr 1, 2013 Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients
Palomar Hospitalist Medical Group, Inc CurrentSince Dec 10, 2021 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Jan 6, 2020 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Mar 24, 2020 Accepting new patients
Sharp Rees-Stealy Medical Center Past Accepting new patients
Inpatient Consultants of Colorado, PC Internal Medicine Past Accepting new patients
Palomar Health Past Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Sharp Chula Vista Medical Center Past Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639

1400 E Palomar St
Chula Vista, CA 91913
Phone (619) 397-3077

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

2185 Citracado Pkwy
#1182
Escondido, CA 92029
Phone (805) 473-7626

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

2929 Health Center Dr
San Diego, CA 92123
Phone (858) 939-6531

Interoperability endpoints

  • Direct secure messaging: cjimenezgrillo34141@sharphealthcare.direct-ci.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1144267188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E PALOMAR ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919131800",
            "telephone_number": "858-499-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E PALOMAR ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919131800",
            "telephone_number": "858-499-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ-GRILLO",
        "first_name": "CARLOS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C53456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.