Individual provider Active NPI

Ammar Charestan, M.D.

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1295181543
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A166970 Issued in CA
Practice address
300 Fir St FL 1
San Diego, CA 92101-2393
Phone
(619) 446-1575
NPI assigned
May 5, 2016
Last updated
Aug 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301500313 MI
Family Medicine Physician 207Q00000X A166970 CA Primary

Addresses

Primary practice location

300 Fir St FL 1
San Diego, CA 92101-2393

Mailing address

1320 Lorna Ave
El Cajon, CA 92020-7570
Phone (310) 910-2169

Other practice location 1

6071 Outer Dr W
Detroit, MI 48235
Phone (313) 966-1008

Other names 1

  • Ammar Abdulmassih Charestan Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200221002750 MI Practitioner - Family Practice 3779874110 Reassigns benefits to 1 organization
I20201229002769 CA Practitioner - Family Practice 3779874110 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sac Health SystemGroup PAC ID 4385533579, 222 clinicians
Neighborhood HealthcareGroup PAC ID 5294649406, 153 clinicians

Practice addresses (Care Compare)

1454 E 2ND St
San Bernardino, CA 92408-0118
Phone (909) 382-7100

1625 E Main St
Suite 100
El Cajon, CA 92021-5240
Phone (619) 442-9896

460 N Elm St
Escondido, CA 92025-3002
Phone (760) 520-8100

855 E Madison Ave
El Cajon, CA 92020-3819
Phone (619) 440-2751

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
A166970CAMDFamily Medicine Physician
4301500313MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Diego American Indian Health Center CurrentSince Aug 12, 2024 Accepting new patients
Sac Health System Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Apr 13, 2021 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Feb 28, 2022 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Sac Health System CurrentSince Nov 2, 2025 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc Family Medicine CurrentSince Feb 28, 2022 Accepting new patients
Southern California Permanente Medical Group CurrentSince Apr 13, 2021 Accepting new patients
East County Urgent Care Industrial & Medical Clinic Inc Family Medicine CurrentSince Nov 4, 2020 Accepting new patients
Sac Health System CurrentSince Nov 2, 2025 Accepting new patients
Focus on Health Inc Family Medicine CurrentSince Jan 14, 2025 Accepting new patients
Procare Partners Health PLLC CurrentSince Feb 6, 2020 Accepting new patients
Faculty Physicians and Surgeons of Llusm Family Medicine CurrentSince Jan 12, 2025 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Jan 12, 2025 Accepting new patients

Locations

1625 E Main St
Ste 100
El Cajon, CA 92021
Phone (619) 404-5333

82934 Civic Center Dr
Indio, CA 92201
Phone (760) 477-0733

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

28078 Baxter Rd
Murrieta, CA 92563
Phone (760) 533-4541

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

2602 1st Ave
Ste 105
San Diego, CA 92103

2630 1st Ave
San Diego, CA 92103
Phone (619) 234-2158

300 Fir St
San Diego, CA 92101
Phone (619) 446-1586

300 Fir St
Fl 1
San Diego, CA 92101
Phone (619) 446-1575

4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038

7525 Linda Vista Rd
Ste A
San Diego, CA 92111
Phone (858) 277-2361

8695 Spectrum Center Ct
San Diego, CA 92123
Phone (858) 499-3025

1455 3rd Ave
Sn Bernrdno, CA 92408
Phone (909) 382-7146

4777 E Outer Dr
Ste 1147
Detroit, MI 48234
Phone (313) 826-6100

Interoperability endpoints

  • Direct secure messaging: acharestan32497@sharphealthcare.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IFGCCD

Organizations & group practices 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1295181543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 LORNA AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920207570",
            "telephone_number": "310-910-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FIR ST FL 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012393",
            "telephone_number": "619-446-1575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6071 Outer Dr W",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "48235",
            "country_code": "US",
            "telephone_number": "313-966-1008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARESTAN",
        "first_name": "AMMAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-05",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301500313",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A166970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMMAR",
            "last_name": "CHARESTAN",
            "middle_name": "ABDULMASSIH",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.