TRICARE OUTPATIENT CLINIC CHULA VISTA (NPI# 1063611580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063611580 |
| Entity Type | Organization |
| Organization Name | TRICARE OUTPATIENT CLINIC CHULA VISTA |
| Practice Address |
644 Naples St Chula Vista CA 91911-1636 |
| Practice Telephone | 6197445355 |
| Practice Fax Number | 6197445391 |
| Mailing Telephone | 6197445355 |
| Mailing Fax Number | 6197445391 |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-13 |
| Authorized Official Name | JUDY MARIE MONTANO (MEDICAL ADMINISTRATIVE OFFICER) |
| Authorized Official Telephone | 6197445354 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467644625 | Tricare Outpatient Clinic Chula Vista | Clinic/Center | 644 Naples St, Chula Vista, CA 91911-1636 | 2007-08-13 |
| Street Address |
644 NAPLES ST |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91911-1636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518947779 | Tam Cong Dao | Pharmacist | 644 Naples St, Chula Vista, CA 91911-1636 | 2006-01-21 |
| 1427298553 | Jocelyn Lappay Cayabyab | Registered Nurse | 644 Naples St, Chula Vista, CA 91911-1636 | 2009-03-02 |
| 1154586535 | Robert Diaz | Physician Assistant | 644 Naples St, Chula Vista, CA 91911-1636 | 2008-07-24 |
| 1467644625 | Tricare Outpatient Clinic Chula Vista | Clinic/Center | 644 Naples St, Chula Vista, CA 91911-1636 | 2007-08-13 |
| 1275682528 | Avelino V Canlas | Family Medicine | 644 Naples St, Chula Vista, CA 91911-1636 | 2007-01-09 |
| 1851498612 | Naval Medical Center San Diego | Military/U.S. Coast Guard Pharmacy | 644 Naples St, Chula Vista, CA 91911-1636 | 2006-09-20 |
| 1053328856 | Jonas Ludivero Bernal | Pediatrics | 644 Naples St, Chula Vista, CA 91911-1636 | 2006-08-02 |
| 1912963513 | Thomas E Stark | Family Medicine | 644 Naples St, Chula Vista Naval Branch Clinic, Chula Vista, CA 91911-1636 | 2006-04-22 |
| 1700859097 | Luzviminda Nebres Turalba | Military Health Care Provider | 644 Naples St, Chula Vista, CA 91911-1636 | 2006-02-08 |
| 1578535498 | Samuel Go Abarte Jr. | Internal Medicine | 644 Naples St, Chula Vista, CA 91911-1636 | 2006-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011064 | Hfm Inc | Pharmacy | 750 Medical Center Court, Suite 8, Unit A, Chula Vista, CA 91911 | 2020-07-24 |
| 1659991198 | Cindy Way | Student in an Organized Health Care Education/Training Program | 1161 Bay Blvd. Ste. B Chula Vista,ca 91911, Chula Vista, CA 91911 | 2020-04-24 |
| 1083243455 | Uriel Angel Gonzalez | Student in an Organized Health Care Education/Training Program | 1161 Bay Boulevard B, Chula Vista, Chula Vista, CA 91911 | 2020-04-07 |
| 1083252464 | Denisse Patricia Macias | Dentist | 235 East Orange Avenue, Apartment E4, Chula Vista, CA 91911 | 2019-12-16 |
| 1952955494 | Jenifer Irene Wright | Counselor | 1180 Third Ave Suite C-3, Chula Vista, CA 91911 | 2019-08-01 |
| 1891357075 | Myriam Lourdes Scales | Counselor | 1172 3rd Ave Suite D1, Chula Vista, CA 91911 | 2019-07-08 |
| 1295228328 | Centro De Salud De La Comunidad De San Ysidro, Inc | Clinic/Center | 880 Third Ave Ste A, Chula Vista, CA 91911 | 2018-06-13 |
| 1902398589 | The Arc of San Diego | Day Training, Developmentally Disabled Services | 1280 Nolan Avenue, Chula Vista, CA 91911 | 2018-05-31 |
| 1003344292 | Jalitza Cardona | Peer Specialist | 853 3rd Ave, Suite C, Chula Vista, CA 91911 | 2017-06-01 |
| 1598138042 | Amy Nylund | Nurse Practitioner | 754 Medical Center Ct Ste 100, Chula Vista, CA 91911 | 2015-11-05 |
| Find all providers in zip 91911 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982923702 | Scott Markel, M.d., Inc. | Clinic/Center | 750 Medical Center Ct Ste 5, Chula Vista, CA 91911-6634 | 2010-05-18 |
| 1639674294 | Monica Perlman Md, Inc | Clinic/Center | 299 J St, Chula Vista, CA 91910-5831 | 2018-03-27 |
| 1942659149 | Ciecal Rc Inc | Clinic/Center | 769 Medical Center Ct, Suite 303, Chula Vista, CA 91911-6602 | 2016-06-08 |
| 1629427349 | Monica Cepin Corp | Clinic/Center | 333 H St, Suite 2000, Chula Vista, CA 91910-5555 | 2016-06-03 |
| 1316225147 | Somagen Healthcare II Inc | Clinic/Center | 760 Otay Lakes Rd, Chula Vista, CA 91910-6915 | 2011-07-27 |
| 1801037858 | Abel Cesar Toledo M.d. Inc. | Clinic/Center | 330 Oxford St, Suite# 110, Chula Vista, CA 91911-3117 | 2009-03-19 |
| 1467632273 | Valderrama Md, Inc. | Clinic/Center | 754 Medical Center Ct, Suite 202, Chula Vista, CA 91911-6654 | 2007-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699521 | Flora Lim | Clinic/Center | 2500 Alton Pkwy Ste 108, Irvine, CA 92606-5032 | 2020-11-08 |
| 1902405715 | Riverside Primary Care Clinic, Joanna Ayala Md | Clinic/Center | 3978 Merrill Ave, Riverside, CA 92506 | 2020-10-22 |
| 1275131765 | Uzoma Uwakah | Clinic/Center | 2521 Seminary Ave # 1, Oakland, CA 94605-1307 | 2020-10-15 |
| 1508464470 | Pestle Health LLC | Clinic/Center | 550 Gene Friend Way Apt 214, San Francisco, CA 94158-2283 | 2020-10-13 |
| 1902404247 | Arbol Acupuncture | Clinic/Center | 2620 Foothill Blvd Ste A, La Crescenta, CA 91214-4509 | 2020-10-09 |
| 1346857802 | Sos Environmental Health | Clinic/Center | 59 Estaban Dr, Camarillo, CA 93010-1609 | 2020-09-29 |
| 1457966442 | Carlos A. Alvarez., Md., Inc | Clinic/Center | 6001 Truxtun Ave Ste 220, Bakersfield, CA 93309-0662 | 2020-09-15 |
| 1265046395 | Riverway Medical Group A Medical Corporation | Clinic/Center | 1827 S Court St Ste B, Visalia, CA 93277-5469 | 2020-09-05 |
| 1386258754 | Apollo Health Services Inc | Clinic/Center | 438 E Katella Ave Ste 229, Orange, CA 92867-4803 | 2020-09-03 |
| 1538772843 | Unlimited Urgent Care Inc. | Clinic/Center | 8781 Van Nuys Blvd Ste A, Panorama City, CA 91402-2401 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
| City | CHULA VISTA |
| Zip Code | 91911 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.