Active NPI
Ammar Charestan, M.D.
- Family Medicine Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A166970
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| A166970 | CA | MD | Family Medicine Physician |
| 4301500313 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Diego American Indian Health Center | Current | Accepting new patients | |
| Sac Health System | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Sac Health System | Current | Accepting new patients | |
| Sharp Rees-Stealy Medical Group, Inc | Family Medicine | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| East County Urgent Care Industrial & Medical Clinic Inc | Family Medicine | Current | Accepting new patients |
| Sac Health System | Current | Accepting new patients | |
| Focus on Health Inc | Family Medicine | Current | Accepting new patients |
| Procare Partners Health PLLC | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Family Medicine | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | 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
- acharestan32497@sharphealthcare.direct-ci.com
- 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.
-
- Urgent Care Clinic/Center
- El Cajon, CA
- NPI 1417988668
Family Medicine
-
dba SAC Arrowhead
- Federally Qualified Health Center (FQHC)
- San Bernardino, CA
- NPI 1013935923
-
dba Neighborhood Healthcare - Escondido
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1598703647
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
dba Focus Health
- General Practice Physician
- San Diego, CA
- NPI 1497450530
Family Medicine
-
dba San Diego Community Health Center
- Addiction (Substance Use Disorder) Counselor
- San Diego, CA
- NPI 1003902917
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1285616177
Family Medicine
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1457727307
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
-
- Pediatric Cardiology Physician
- Upland, CA
- NPI 1912343104
-
dba Sac Indio CVRM
- Federally Qualified Health Center (FQHC)
- Indio, CA
- NPI 1235784166
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"
}
]
}
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- Nicole M Charara
- Stacy Charat, MD
- Patrick John Charbonneau, PA-C
- John F Chardos, MD
- Chancellor Thomas Charette, PHARM.D., RPH
- Jordan Danielle Charlebois
- Stephanie Charlebois, BCBA
- Neltada Charlemagne, PMHNP
- Charles D Schlesinger Dental Corporation (Black Mountain Family Dentistry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.