Individual provider Active NPI

Charleston Chua, M.D.

  • Plastic and Reconstructive Surgery Physician
  • La Mesa, CA
National Provider Identifier
1881937449
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
A146435 Issued in CA
Practice address
8200 La Mesa Blvd
La Mesa, CA 91942-9216
Phone
(858) 699-0707
Fax
(725) 215-9015
NPI assigned
Apr 2, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X A146435 CA Primary
Plastic and Reconstructive Surgery Physician 2086S0122X 21272 NV

Addresses

Primary practice location

8200 La Mesa Blvd
La Mesa, CA 91942-9216

Mailing address

8200 La Mesa Blvd
La Mesa, CA 91942-9216
Phone (702) 460-6009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 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
I20221224000070 CA Practitioner - Plastic and Reconstructive Surgery 3476853912 Reassigns benefits to 4 organizations
I20240627002305 NV Practitioner - Plastic and Reconstructive Surgery 3476853912 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Nevada School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Allies Clinic IncGroup PAC ID 8527458389, 16 clinicians
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians

Practice addresses (Care Compare)

4510 Executive Dr
Suite 103
San Diego, CA 92121-3022
Phone (619) 396-8959

5395 Ruffin Rd
Suite 102
San Diego, CA 92123-1338
Phone (858) 598-5291

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

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A146435CAMDPlastic and Reconstructive Surgery Physician
21272NVMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Chua MD Medical Spa PLLC Plastic and Reconstructive Surgery CurrentSince Aug 1, 2024 Accepting new patients
James J Chao MD Facs a Professional Corporation CurrentSince Dec 1, 2022 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Dec 1, 2022 Accepting new patients
Charleston Chua MD Plastic and Reconstructive Surgery CurrentSince Jun 23, 2024 Accepting new patients
Health Allies Clinic Inc Plastic and Reconstructive Surgery CurrentSince Dec 1, 2022 Accepting new patients
NPI 1851223416 Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

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

499 N El Camino Real
Ste C200
Encinitas, CA 92024
Phone (760) 635-7800

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

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

8901 Activity Rd
San Diego, CA 92126
Phone (844) 627-4763

5395 Ruffin Rd
Ste 102
San Diego, CA 92123
Phone (858) 569-8959

27699 Jefferson Ave
Ste 201
Temecula, CA 92590
Phone (602) 421-4204

4270 S Decatur Blvd
Ste B1B
Las Vegas, NV 89103
Phone (702) 880-9500

4270 S Decatur Blvd
Ste A1
Las Vegas, NV 89103
Phone (702) 988-8800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10269/brand/2/csg/1/fhir/r4

Organizations & group practices 7

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 3

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": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1881937449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 LA MESA BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919429216",
            "telephone_number": "702-460-6009",
            "fax_number": "916-734-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 LA MESA BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919429216",
            "telephone_number": "858-699-0707",
            "fax_number": "725-215-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUA",
        "first_name": "CHARLESTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-02",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A146435",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NV",
            "license": "21272",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.