LUIS A FIALLO MD PC (NPI# 1760644686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760644686 |
| Entity Type | Organization |
| Organization Name | LUIS A FIALLO MD PC |
| Practice Address |
754 Medical Center Ct 100 Chula Vista CA 91911-6655 |
| Practice Telephone | 6194214000 |
| Practice Fax Number | 6194216395 |
| Mailing Telephone | 6194509960 |
| Mailing Fax Number | 6197737956 |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2012-01-24 |
| Authorized Official Name | DR. LUIS A FIALLO (MD OWNER) |
| Authorized Official Telephone | 6194214000 |
| Authorized Official Credential | MD FACP FCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI | 1407824600 | 01 |
| CA | 00C513090 | 05 |
| Street Address |
754 MEDICAL CENTER CT 100 |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91911-6655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952370074 | Jeannette Delvalle Velez | Internal Medicine | 754 Medical Center Ct, 101, Chula Vista, CA 91911-6654 | 2006-03-14 |
| 1922542182 | Marco Martinez | Licensed Practical Nurse | 754 Medical Center Ct, Chula Vista, CA 91911-6654 | 2016-12-07 |
| 1982088613 | Luis Daniel San Miguel | Nurse Practitioner | 754 Medical Center Ct, Chula Vista, CA 91911-6654 | 2015-07-13 |
| 1053719898 | Matthew Douglas Pugh, D.o. | Internal Medicine | 754 Medical Center Ct, 206, Chula Vista, CA 91911-6654 | 2014-12-10 |
| 1306077870 | Matthew Douglas Pugh | Internal Medicine | 754 Medical Center Ct, Suite 206, Chula Vista, CA 91911-6654 | 2009-08-02 |
| 1942457130 | San Diego Cardiovascular Imaging Services, Inc. | Spec/Tech, Cardiovascular | 754 Medical Center Ct, #204, Chula Vista, CA 91911-6654 | 2008-08-19 |
| 1467632273 | Valderrama Md, Inc. | Clinic/Center | 754 Medical Center Ct, Suite 202, Chula Vista, CA 91911-6654 | 2007-11-08 |
| 1649476805 | Ruben Edward Sanchez | Clinic/Center | 754 Medical Center Ct, Suite 203, Chula Vista, CA 91911-6654 | 2007-06-25 |
| 1144348962 | Chula Vista Internal Medicine | Internal Medicine | 754 Medical Center Ct, Ste 100, Chula Vista, CA 91911 | 2007-03-27 |
| 1518054501 | Arturo H Valderrama | Internal Medicine | 754 Medical Center Ct, Suite 202, Chula Vista, CA 91911-6654 | 2006-10-09 |
| 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 | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356319446 | Jose A. Lira | Internal Medicine | 841 Kuhn Dr, Chula Vista, CA 91914-3552 | 2006-03-14 |
| 1497755011 | Southwest Pulmonary Medical Group | Internal Medicine | 841 Kuhn Dr, Suite 200, Chula Vista, CA 91914-4523 | 2005-07-26 |
| 1700121464 | East Lake Medical, LLC | Internal Medicine | 841 Kuhn Dr Ste 200, Chula Vista, CA 91914-4523 | 2012-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221137 | Newport Superior Medical & Infusion Inc | Internal Medicine | 1501 Superior Ave Ste 111, Newport Beach, CA 92663-3661 | 2020-10-02 |
| 1205472339 | Christian Gronbeck IIi | Internal Medicine | 37 E Mission Ave, San Rafael, CA 94901-4208 | 2019-11-25 |
| 1497304497 | Ralph Zitnik | Internal Medicine | 606 E Valerio St, Santa Barbara, CA 93103-1954 | 2019-09-11 |
| 1578118295 | Adventist Health Physicians Network | Internal Medicine | 1231 W Vine St Ste 19, Lodi, CA 95240-5109 | 2019-08-08 |
| 1063079176 | Kasra Sedarati M.d. Inc. | Internal Medicine | 325 N Maple Dr Unit 1863, Beverly Hills, CA 90213-4754 | 2019-05-23 |
| 1124586367 | Coast Concierge Medicine Inc | Internal Medicine | 31852 Coast Hwy Ste 201, Laguna Beach, CA 92651-6765 | 2019-03-06 |
| 1801373352 | Antelope Valley Lung & Sleep Institute, Inc | Internal Medicine | 1331 W Avenue J Ste 101, Lancaster, CA 93534-2942 | 2018-07-26 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1841780301 | San Joaquin Critical Care Medical Group, Inc. | Internal Medicine | 1801 E March Ln Ste C300, Stockton, CA 95210-6657 | 2018-05-10 |
| 1912408691 | Northern California Medical Assoc | Internal Medicine | 2315 Dean St, Eureka, CA 95501-3208 | 2018-02-27 |
| Find all providers with the same taxonomy | ||||
| City | CHULA VISTA |
| Zip Code | 91911 |
Please comment or provide details below to improve the information on LUIS A FIALLO MD PC.
| 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.