Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Shota Gurchumelidze, MD

Individual provider Internal Medicine Physician · NPI 1821284449

Dr. Shota Gurchumelidze, MD is an Internal Medicine in LA Mesa, California. Qualified in 1989, 37 years ago. Practices with Community Health Partners, a 505-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
37
Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8875 La Mesa Blvd Ste C
LA Mesa, CA 91942-5434
Phone: (619) 668-8100
Fax: (619) 667-2688
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A-101612 (CA)

Record details

NPI number1821284449
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 18, 2007
Last updated in NPPESFebruary 1, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Community Health Partners — 505 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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