Active NPI
Charleston Chua, M.D.
- Plastic and Reconstructive Surgery Physician
- La Mesa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- A146435
- 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
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 |
|---|---|---|---|---|
| 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, NV
- 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
- 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
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
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A146435 | CA | MD | Plastic and Reconstructive Surgery Physician |
| 21272 | NV | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Chua MD Medical Spa PLLC | Plastic and Reconstructive Surgery | Current | Accepting new patients |
| James J Chao MD Facs a Professional Corporation | Current | Accepting new patients | |
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients | |
| Charleston Chua MD | Plastic and Reconstructive Surgery | Current | Accepting new patients |
| Health Allies Clinic Inc | Plastic and Reconstructive Surgery | Current | 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
- 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.
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
-
- Plastic Surgery Physician
- San Diego, CA
- NPI 1710652243
Plastic and Reconstructive Surgery
-
dba Chua Plastic Surgery
- Plastic and Reconstructive Surgery Physician
- Las Vegas, NV
- NPI 1013630227
-
- Family Medicine Physician
- Las Vegas, NV
- NPI 1013755362
Plastic and Reconstructive Surgery
-
- Plastic and Reconstructive Surgery Physician
- La Mesa, CA
- NPI 1033966346
-
- Plastic Surgery Physician
- Encinitas, CA
- NPI 1861746703
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sharp Grossmont Hospital
- General Acute Care Hospital
- La Mesa, CA
- NPI 1528041811
-
dba Scripps Memorial Hospital La Jolla
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
-
- General Acute Care Hospital
- Chula Vista, CA
- NPI 1396728630
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.