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

Justin James Judilla, PA-C

Individual provider Physician Assistant · NPI 1043074438

Justin James Judilla, PA-C is a Physician Assistant in San Diego, California. Qualified in 2023, 3 years ago. Practices with Sharp Rees-Stealy Medical Group Inc, a 874-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5651 Copley Dr
San Diego, CA 92111-7903
Phone: (858) 541-5400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 64059 (CA)

Record details

NPI number1043074438
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 7, 2024
Last updated in NPPESJune 7, 2024
Certification dateJune 7, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Sharp Rees-Stealy Medical Group Inc — 874 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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