Individual provider Active NPI

John Richard Pedrotty Jr., MD

  • Family Medicine Physician
  • Coronado, CA
National Provider Identifier
1992861629
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G080234 Issued in CA
Practice address
826 Orange Ave Ste 489
Coronado, CA 92118-2619
Phone
(619) 922-3660
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G080234 CA Primary

Addresses

Primary practice location

826 Orange Ave Ste 489
Coronado, CA 92118-2619

Mailing address

831 G Ave
Coronado, CA 92118-2519
Phone (619) 922-3660

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
I20040430000659 CA Practitioner - Family Practice 3779570635 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Uniformed Services Uhs Fe Hebert School of Med, 1980
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1222 1St St
Suite 1
Coronado, CA 92118-1491
Phone (619) 435-7100

Hospital & facility affiliations

  • UC San Diego Health Hillcrest - Hillcrest Med Ctr Hospital, San Diego, CA, CCN 050025

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement17
Knee replacement24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G080234CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Salud de la Comunidad de San Ysidro, Inc. CurrentSince Apr 5, 2022 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro, Inc. Current Accepting new patients
Centro de Salud de la Comunidad de San Ysidro Inc CurrentSince Apr 5, 2022 Accepting new patients
John R Pedrotty Jr MD a Prof Corp Family Medicine CurrentSince Jun 20, 2005 Accepting new patients
Sharp Coronado Hospital and Healthcare Center Past Accepting new patients

Locations

678 Third Ave
Chula Vista, CA 91910
Phone (619) 205-6349

1637 Third Ave
Ste B
Chula Vista, CA 91911
Phone (619) 425-1780

1222 1st St
Ste 1
Coronado, CA 92118
Phone (619) 435-7100

1136 D Ave
National City, CA 91950
Phone (619) 336-2300

250 Prospect Pl
San Diego, CA 92118
Phone (619) 522-3600

6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130

Interoperability endpoints

  • Direct secure messaging: jpedrotty33700@sharphealthcare.direct-ci.com
  • Direct secure messaging: johnpedrotty@jrp.allscriptsdirect.net

Organizations & group practices 5

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 1

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1992861629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 G AVE",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921182519",
            "telephone_number": "619-922-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 ORANGE AVE STE 489",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921182619",
            "telephone_number": "619-922-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDROTTY",
        "first_name": "JOHN",
        "middle_name": "RICHARD",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G080234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coronado, CA

Sources for this page

Verify at the official NPI Registry.