Active NPI
Bashar Mirza, M.D.
- Internal Medicine Physician
- Chula Vista, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A143861
- Practice address
- 1400 E Palomar St
Chula Vista, CA 91913-1800 - Phone
- (858) 499-2600
- NPI assigned
- Jun 10, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
CA
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1285616177
CA, Internal Medicine
-
- Optometrist
- San Diego, CA
- NPI 1063172351
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ximed Hospitalists, Inc.
Practice addresses (Care Compare)
9888 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 457-4123
Hospital & facility affiliations
- Silverado Hospice San Diego
- Scripps Memorial Hospital la Jolla
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.67 of 100
- Quality
- 81.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 82.04
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170912003255 | CA | Practitioner - Internal Medicine | 8921371022 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A143861 | CA | MD | Internal Medicine Physician |
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ximed Hospitalists, Inc. | Current | Accepting new patients | |
| Sharp Rees-Stealy Medical Group, Inc | Internal Medicine | Current | Accepting new patients |
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients | |
| Sharp Rees-Stealy Medical Group, Inc | Current | 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
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- bmirza32667@sharphealthcare.direct-ci.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A143861 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary 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
Other practice location 1
1050 Linden Ave
Long Beach, CA 90813-3321
Phone (562) 491-9000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.
{
"created_epoch": "1402358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1164835898",
"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": [
{
"address_1": "1050 Linden Ave",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908133321",
"country_code": "US",
"telephone_number": "562-491-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIRZA",
"first_name": "BASHAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-10",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A143861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.