ACE Mobile Nursing Providers in Chula Vista delivers house-call primary care through NPI-registered nurse practitioners, bringing clinical evaluations directly to homebound patients across the South Bay. The mobile model eliminates transportation barriers for patients who cannot reach brick-and-mortar clinics, coordinating referrals with primary care physicians such as Jorge Pelayo-Garcia, MD at Sharp Rees-Stealy Otay Ranch when conditions exceed NP scope of practice. Incorporated in California in January 2020 and NPI-registered under taxonomy code 363L00000X, the practice operates as a single-specialty nurse practitioner group credentialed for diagnostic evaluation, medication management, and chronic disease monitoring. In-home assessments cover blood pressure monitoring, wound evaluation, medication reconciliation, and cognitive screening — services that keep aging patients connected to the healthcare system without facility admission. Coordination with residential care communities such as Ivy Park at Bonita allows the mobile team to supplement facility-based nursing with on-demand NP-level clinical assessments for acute symptom changes. Each mobile visit generates documentation compliant with CMS Evaluation and Management coding guidelines, producing clinical notes that integrate into referring physicians' electronic health records for continuity of care.