SAN DIEGO PEDIATRICS & FAMILY MEDICAL CLINIC (NPI# 1265443444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265443444 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO PEDIATRICS & FAMILY MEDICAL CLINIC |
| Practice Address |
401 H St Suite #3 Chula Vista CA 91910-4321 |
| Practice Telephone | 6196910001 |
| Practice Fax Number | 6196910111 |
| Mailing Telephone | 6196910001 |
| Mailing Fax Number | 6196910111 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARIO EDUARDO EYZAGUIRRE (PHYSICIAN/ CEO) |
| Authorized Official Telephone | 619-691-0001 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A42572 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
401 H ST SUITE #3 |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91910-4321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457387730 | Jesus Valencia | Physician Assistant | 401 H St, Suite # 3, Chula Vista, CA 91910-4321 | 2006-06-25 |
| 1831346352 | Hector Heredia, Md A Professional Corporation | General Practice | 401 H St, Suite 5, Chula Vista, CA 91910-4321 | 2008-08-27 |
| 1053502617 | Parizad Seraj | Dentist | 401 H St, #4, Chula Vista, CA 91910-4321 | 2007-08-07 |
| 1154412666 | Parizad Seraj Dds | Dentist | 401 H St, #4, Chula Vista, CA 91910-4321 | 2006-09-28 |
| 1699882365 | Hector Heredia-martinez Jr. | Internal Medicine | 401 H St, Suite 3, Chula Vista, CA 91910-4321 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477194264 | Joshua Maurice Hayden | Dental Hygienist | 678 Thrid Ave, Chula Vista, CA 91910 | 2019-10-02 |
| 1255980504 | Samantha Bernaldo | Dental Hygienist | 668 Third Ave, Chula Vista, CA 91910 | 2019-09-10 |
| 1073179529 | Roshni Kakaiya | Student in an Organized Health Care Education/Training Program | 435 H Street, Cv112, Chula Vista, CA 91910 | 2019-05-09 |
| 1598232506 | Naria Le Mire | Dietitian, Registered | 288 Broadway #141a, Chula Vista, CA 91910 | 2018-10-28 |
| 1730676727 | Pei Chi Chain | Optometrist | 324 F Street., Chula Vista, CA 91910 | 2018-04-16 |
| 1104332741 | Teodoro David Pena | Dentist | 510 Broadway Ste 4-5, Chula Vista, CA 91910 | 2017-12-19 |
| 1538684865 | Camille Cooke | Counselor | 430 F. Street, Chula Vista, CA 91910 | 2017-08-08 |
| 1184146094 | Alexandra Lynn Scovill | Optometrist | Castillejos Eye Institute Medical Group, 342 F Street, Chula Vista, CA 91910 | 2017-07-12 |
| 1396270583 | Tam Trieu | Pharmacist | 555 Broaway Suite 1054, Chula Vista, CA 91910 | 2017-04-25 |
| 1548792815 | Sabrina Owens | Family Medicine | 499 H Street Cv112, Chula Vista, CA 91910 | 2017-03-28 |
| Find all providers in zip 91910 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922410919 | Nelda V. Ordonez | General Practice | 340 4th Ave Ste 14, Chula Vista, CA 91910-3813 | 2014-05-23 |
| 1992931067 | Abram Pagtakhan Tirona | General Practice | 2127 Olympic Pkwy Ste 1006-344, Chula Vista, CA 91915-1359 | 2009-06-03 |
| 1477760247 | Jose Maria Partida Sr. | General Practice | 1229 3rd Ave, Chula Vista, CA 91911-3202 | 2007-05-17 |
| 1518059799 | Abel C. Toledo | General Practice | 330 Oxford St Ste 110, Chula Vista, CA 91911-3118 | 2006-09-28 |
| 1043235476 | Arthur Meza | General Practice | 1301 Medical Center Dr Unit 734, Chula Vista, CA 91911-6963 | 2006-07-13 |
| 1285876615 | Monica P Cepin, Md A Medical Corporation | General Practice | 333 H St, Suite 2000, Chula Vista, CA 91910-5555 | 2009-03-31 |
| 1831346352 | Hector Heredia, Md A Professional Corporation | General Practice | 401 H St, Suite 5, Chula Vista, CA 91910-4321 | 2008-08-27 |
| 1083795124 | Monica P Cepin | General Practice | 333 H St, Suite 2000, Chula Vista, CA 91910-5555 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1255939674 | Kiira Health Practice Ca PC | General Practice | 123 S Figueroa St Apt 1202, Los Angeles, CA 90012-5490 | 2020-10-16 |
| 1851999627 | Golden State Medical Center PC | General Practice | 2551 San Ramon Valley Blvd Ste 108, San Ramon, CA 94583-1661 | 2020-10-14 |
| 1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
| 1376156109 | Gtl Medical Group Inc | General Practice | 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 | 2020-08-31 |
| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | CHULA VISTA |
| Zip Code | 91910 |
Please comment or provide details below to improve the information on SAN DIEGO PEDIATRICS & FAMILY MEDICAL CLINIC.
| 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.