Individual provider Active NPI

Elion Brace, MD

  • Internal Medicine Physician
  • Chula Vista, CA
National Provider Identifier
1184890782
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A105638 Issued in CA
Practice address
751 Medical Center CT
Chula Vista, CA 91911-6617
Phone
(619) 836-3229
NPI assigned
May 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2015

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 A105638 CA Primary

Addresses

Primary practice location

751 Medical Center CT
Chula Vista, CA 91911-6617

Mailing address

PO Box 211988
Chula Vista, CA 91921-1988
Phone (619) 836-3229

Other identifiers 2

IdentifierTypeStateIssuer
W14158OtherCAGROUP PTAN
CF9657OtherCAMEDICARE PTAN

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
I20120106000651 CA Practitioner - Internal Medicine 1052457108 Reassigns benefits to 3 organizations
Practice locations: San Diego, CA; Naitional City, CA; Chula Vista, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elion Brace MD IncGroup PAC ID 8426350810, 3 clinicians
Jean Rizkallah, M.D., IncGroup PAC ID 9335272830, 3 clinicians

Practice addresses (Care Compare)

1940 El Cajon Blvd
San Diego, CA 92104-1005
Phone (619) 543-4500

4075 54TH St
San Diego, CA 92105-2301
Phone (619) 582-5168

450 4TH Ave
Suite 408
Chula Vista, CA 91910-4430
Phone (619) 691-1990

555 Washington St
San Diego, CA 92103-2289
Phone (619) 260-8300

751 Med Ctr CT
Chula Vista, CA 91911-6617
Phone (619) 482-5800

Hospital & facility affiliations

  • Alternative Hospice Care Inc. Hospice, San Marcos, CA, CCN B41663
  • Sharp Chula Vista Medical Center Hospital, Chula Vista, CA, CCN 050222
  • Sharp Memorial Hospital Hospital, San Diego, CA, CCN 050100
  • Palomar Health Downtown Campus Hospital, Escondido, CA, CCN 050115
  • Scripps Mercy Hospital Hospital, San Diego, CA, CCN 050077
  • UC San Diego Health Hillcrest - Hillcrest Med Ctr Hospital, San Diego, CA, CCN 050025
  • Kindred Hospital - San Diego Long-term care hospital, San Diego, CA, CCN 052036
  • Select Specialty Hospital - San Diego Long-term care hospital, San Diego, CA, CCN 052044
  • Jacob Healthcare Center Nursing home, San Diego, CA, CCN 055508

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A105638CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Jan 22, 2012 Accepting new patients
Jean Rizkallah, MD, Inc CurrentSince May 1, 2020 Accepting new patients
Elion Brace MD Inc Internal Medicine CurrentSince Dec 22, 2015 Accepting new patients
Sharp Chula Vista Medical Center Past Accepting new patients

Locations

450 Fourth Ave
Ste 408
Chula Vista, CA 91910
Phone (619) 691-1990

435 H St
Chula Vista, CA 91910
Phone (619) 691-7000

553 F St
Chula Vista, CA 91910
Phone (619) 426-8611

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

890 Eastlake Pkwy
Ste 301
Chula Vista, CA 91914
Phone (619) 421-2949

510 E Washington Ave
El Cajon, CA 92020
Phone (619) 440-1211

2575 E 8th St
National City, CA 91950
Phone (619) 428-4119

902 Euclid Ave
National City, CA 91950
Phone (619) 791-7700

3022 45th St
San Diego, CA 92105
Phone (619) 283-5855

6061 Banbury St
San Diego, CA 92139
Phone (619) 475-2211

1940 El Cajon Blvd
San Diego, CA 92104
Phone (619) 543-4500

1201 34th St
San Diego, CA 92102
Phone (619) 232-1058

4075 54th St
San Diego, CA 92105
Phone (619) 582-5168

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

555 Washington St
San Diego, CA 92103
Phone (619) 260-8300

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

Hospital & facility affiliations 10

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": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450656000000",
    "number": "1184890782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211988",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919211988",
            "telephone_number": "619-836-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 MEDICAL CENTER CT",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116617",
            "telephone_number": "619-836-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACE",
        "first_name": "ELION",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-02",
        "last_updated": "2015-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A105638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "W14158",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CF9657",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.