Individual provider Active NPI

Sunita Shailam, M.D.

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1174625933
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A68875 Issued in CA
Practice address
2931 Jarvis St
San Diego, CA 92106-2314
Phone
(619) 239-4979
Fax
(619) 239-5960
NPI assigned
Sep 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A68875 CA Primary

Addresses

Primary practice location

2931 Jarvis St
San Diego, CA 92106-2314

Mailing address

2931 Jarvis St
San Diego, CA 92106-2314
Phone (619) 239-4979

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
I20120104000165 CA Practitioner - Family Practice 8325214950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Albany Medical College of Union University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2931 Jarvis St
San Diego, CA 92106-2314
Phone (619) 239-4979

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A68875CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Sun Health Medical Clinic Professional Corporation Family Medicine CurrentSince May 1, 2002 Accepting new patients
Scripps Health Past Accepting new patients
Mobile Medical Group Past Accepting new patients

Locations

2931 Jarvis St
San Diego, CA 92106
Phone (619) 222-2355

427 C St
Ste 216
San Diego, CA 92101
Phone (619) 239-4979

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sshailam31701@scrippshlth.medalliesdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1174625933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 JARVIS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062314",
            "telephone_number": "619-239-4979",
            "fax_number": "619-239-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 JARVIS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062314",
            "telephone_number": "619-239-4979",
            "fax_number": "619-239-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAILAM",
        "first_name": "SUNITA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A68875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.