Individual provider Active NPI

Moneer Jaibaji, M.D.

  • Plastic Surgery Physician
  • La Mesa, CA
National Provider Identifier
1366471096
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A94261 Issued in CA
Practice address
8851 Center Drive
Suite # 301
La Mesa, CA 91942-3058
Phone
(619) 522-0821
Fax
(619) 522-0808
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X A94261 CA Primary

Addresses

Primary practice location

8851 Center Drive
Suite # 301
La Mesa, CA 91942-3058

Mailing address

PO Box 2957
Moneer Jaibaji
La Mesa, CA 91943-2957
Phone (619) 522-0821

Other names 1

  • Moneer Jaibaji Other name

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
I20061220000468 CA Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 7911956487 Reassigns benefits to 3 organizations
Practice locations: La Mesa, CA

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: General Surgery
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians
On Call Specialists Medical Group of San Diego IncGroup PAC ID 7911395231, 145 clinicians

Practice addresses (Care Compare)

1001 B Ave
Suite 108
Coronado, CA 92118-3423
Phone (619) 522-0821

250 Prospect PL
Coronado, CA 92118-1943
Phone (619) 522-3600

4077 5TH Ave
San Diego, CA 92103-2105
Phone (619) 359-6600

5555 Grossmont Ctr Dr
La Mesa, CA 91942-3019
Phone (619) 740-6000

751 Med Ctr CT
Chula Vista, CA 91911-6617
Phone (619) 502-5800

7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-3400

Hospital & facility affiliations

  • Sharp Coronado Hospital and Hlthcr Ctr Hospital, Coronado, CA, CCN 050234
  • Grossmont Hospital Hospital, La Mesa, CA, CCN 050026
  • Scripps Mercy Hospital Hospital, San Diego, CA, CCN 050077
  • Sharp Chula Vista Medical Center Hospital, Chula Vista, CA, CCN 050222

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision51
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Moneer Jaibaji, MD, Inc. CurrentSince Mar 11, 2011 Accepting new patients
On Call Specialists Medical Group of San Diego, Inc. CurrentSince Jun 1, 2023 Accepting new patients
La Vita Real Estate LLC Current Accepting new patients
Scripps Health Current Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Sep 6, 2010 Accepting new patients
Scripps Health Past Accepting new patients
Sharp Coronado Hospital and Healthcare Center Past Accepting new patients
Grossmont Hospital Corporation Past Accepting new patients

Locations

1001 B Ave
Ste 108
Coronado, CA 92118
Phone (619) 435-1736

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

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

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

650 E Devon Ave
Ste 165
Itasca, IL 60143
Phone (630) 285-1040

Interoperability endpoints

  • Direct secure messaging: mjaibaji81147@scrippshlth.medalliesdirect.net

Organizations & group practices 8

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 4

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275955200000",
    "number": "1366471096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2957",
            "address_2": "MONEER JAIBAJI",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919432957",
            "telephone_number": "619-522-0821",
            "fax_number": "619-522-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 CENTER DRIVE",
            "address_2": "SUITE # 301",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423058",
            "telephone_number": "619-522-0821",
            "fax_number": "619-522-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIBAJI",
        "first_name": "MONEER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2010-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A94261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONEER",
            "last_name": "JAIBAJI",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.