Shota Gurtch, M.D., Inc. a Professional Corporation
NPI 1154050904 · Primary Care Clinic/Center · La Mesa, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shota Gurtch, M.D., Inc. a Professional Corporation is a Primary Care Clinic/Center organization in La Mesa, CA (NPI 1154050904).
Provider details
- NPI number
- 1154050904
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shota Gurchumelidze, Physician(858) 997-3161
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-06-07
- Last updated
- 2023-08-31
- Certified
- 2023-08-31
Frequently asked questions
- What is Shota Gurtch, M.D., Inc. a Professional Corporation's NPI number?
- Shota Gurtch, M.D., Inc. a Professional Corporation's National Provider Identifier (NPI) is 1154050904, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shota Gurtch, M.D., Inc. a Professional Corporation?
- Shota Gurtch, M.D., Inc. a Professional Corporation is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Shota Gurtch, M.D., Inc. a Professional Corporation located?
- Shota Gurtch, M.D., Inc. a Professional Corporation's practice location on file with NPPES is 8875 La Mesa Blvd Ste C, La Mesa, CA 91942-5434.
- What is Shota Gurtch, M.D., Inc. a Professional Corporation's phone number?
- The practice phone number listed in the NPPES registry for Shota Gurtch, M.D., Inc. a Professional Corporation is (619) 668-8100.
- Does Shota Gurtch, M.D., Inc. a Professional Corporation accept Medicare?
- Shota Gurtch, M.D., Inc. a Professional Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Shota Gurtch, M.D., Inc. a Professional Corporation?
- The authorized official listed on Shota Gurtch, M.D., Inc. a Professional Corporation's NPPES record is Shota Gurchumelidze, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shota Gurtch, M.D., Inc. a Professional Corporation's NPI active?
- Yes — Shota Gurtch, M.D., Inc. a Professional Corporation's NPI (1154050904) is active in the NPPES registry as of the last update on 2023-08-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.