Active NPI
Sunita Shailam, M.D.
- Family Medicine Physician
- San Diego, CA
National Provider Identifier
1174625933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A68875
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| A68875 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Sun Health Medical Clinic Professional Corporation | Family Medicine | Current | 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
- 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.
-
- Family Medicine Physician
- San Diego, CA
- NPI 1669574471
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- San Diego, CA
- NPI 1942447651
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1659359446
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; 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.